NPI 1194993055

Chaparral Medical Group, INC.

Organisation Neurological Surgery Physician San Bernardino, CA

Practice location

Address: 401 E Highland Ave Suite 553, San Bernardino, CA 92404-3803
Phone: (909) 881-6713
Fax: (909) 883-7235
Mailing address: 840 Towne Center Dr, Pomona, CA 91767-5900

Authorised official

Name: Adrienne Walker
Title: Contracts Manager
Phone: (909) 398-1550

Registered specialties (3)

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

Other Neurological Surgery providers in California →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X

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Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

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Registry record

NPI: 1194993055
Entity type: Organization
NPI issued: 13 Feb 2008
Record last updated: 25 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.