CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
NPI 1639460066
Non-Pharmacy Dispensing Site in Pomona, CA

Active since April 19, 2011
1902 ROYALTY DR, STE 290, POMONA, CA 91767(909) 397-9007 Get Directions Write a Review

NPPES record last updated: October 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Champion Medical Group, A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION (NPI 1639460066) is a healthcare organization registered as a non-pharmacy dispensing site in Pomona, California and active in the NPI registry since April 2011. The organization lists Herbert Marshak, Medical Liaison, as its authorized official.

NPPES Registry Identity

NPI1639460066
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
Location Address1902 ROYALTY DR, STE 290Pomona, CA 91767-3030
Mailing Address2980 N Beverly Glen Cir, Suite 100Los Angeles, CA 90077-1726 · (310) 474-9809 · Fax (888) 431-8819
Organization SubpartYes
Authorized OfficialHerbert MarshakMedical Liaison · (310) 474-9809
Enumeration DateApril 19, 2011
Last NPPES UpdateOctober 5, 2015
NPI 1639460066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1902 ROYALTY DR, Pomona, CA 91767

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1902 ROYALTY DR, SUITE 220
POMONA, CA 91767
Physician Assistant
1902 ROYALTY DR, SUITE 130
POMONA, CA 91767
Internal Medicine (Infectious Disease)
1902 ROYALTY DR, SUITE 200
POMONA, CA 91767
Orthopaedic Surgery
1902 ROYALTY DR, #260
POMONA, CA 91767
Physical Therapist
1902 ROYALTY DR, SUITE 170
POMONA, CA 91767
Radiology (Diagnostic Radiology)
1902 ROYALTY DR
POMONA, CA 91767
Physical Therapist
1902 ROYALTY DR, SUITE 180
POMONA, CA 91767
Non-Pharmacy Dispensing Site
1902 ROYALTY DR, SUITE 120
POMONA, CA 91767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Champion Medical Group, A Medical Corporation's NPI number?

The NPI number for Champion Medical Group, A Medical Corporation is 1639460066. It was assigned to this organization in the NPPES registry on April 19, 2011.

Where is Champion Medical Group, A Medical Corporation located?

Champion Medical Group, A Medical Corporation is located at 1902 Royalty Dr Ste 290, Pomona, CA 91767. The listed phone number is (909) 397-9007.

What is Champion Medical Group, A Medical Corporation's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Champion Medical Group, A Medical Corporation was last updated on October 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.