Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Champion Medical Group, a Medical Corporation

Organization Non-Pharmacy Dispensing Site · NPI 1639460066

Champion Medical Group, a Medical Corporation is a Non-Pharmacy Dispensing Site in Pomona, California. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

1902 Royalty Dr Ste 290
Pomona, CA 91767-3030
Phone: (909) 397-9007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1639460066
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChampion Medical Group, a Medical Corporation
Authorized official Herbert Marshak — Medical Liaison · (310) 474-9809
NPI enumeratedApril 19, 2011
Last updated in NPPESOctober 5, 2015
Mailing address2980 N Beverly Glen Cir, Suite 100, Los Angeles, CA 90077-1726

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