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CHAPARRAL MEDICAL GROUP INC. NPI 1093777666


NPI Information

NPI: 1093777666
Provider Name: CHAPARRAL MEDICAL GROUP, INC.
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
9190 HAVEN AVENUE
STE. 101, 102, 210, 200
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 581-6732
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CHAPARRAL MEDICAL GROUP, INC. is a dermatology in Rancho Cucamonga, CA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. CHAPARRAL MEDICAL GROUP, INC. NPI is 1093777666. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9190 HAVEN AVENUE
STE. 101, 102, 210, 200
RANCHO CUCAMONGA, CA
ZIP 91730-431
Phone: (909) 581-6732
Fax: (909) 581-6737

The provider's authorized official is Arul Karthik Balaramalingam .
The authorized official title is Credentialing Manager and has the following contact phone number (909) 398-1550.

The enumeration date for this NPI number is 4/6/2006 and was last updated on 3/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207X00000XOrthopaedic SurgeryNo
5207XS0106XOrthopaedic SurgeryHand SurgeryNo
6207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
7208600000XSurgeryNo
8207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
9207RG0300XInternal MedicineGeriatric MedicineNo
10207RN0300XInternal MedicineNephrologyNo
11207N00000XDermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0052956MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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