Healthcare Provider Details

I. General information

NPI: 1124923149
Provider Name (Legal Business Name): VALERIE H CHAPMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 CENTRAL AVE
RIVERSIDE CA
92506-2918
US

IV. Provider business mailing address

9624 PRADERA AVE
MONTCLAIR CA
91763-2115
US

V. Phone/Fax

Practice location:
  • Phone: 951-222-2208
  • Fax:
Mailing address:
  • Phone: 909-242-1470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number54930
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: