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Organization
CHAPARRAL MEDICAL GROUP, INC.
Active
Organization
CHAPARRAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASAD JEEREDDI MD (CEO)
(909) 624-8444
Entity
Organization
Contact information
Practice address
9170 HAVEN AVE, SUITE 120, RANCHO CUCAMONGA, CA 91730-5416
(909) 467-8700
(909) 987-1400
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
CA
207RR0500X
Rheumatology Physician
—
NULL
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
11/20/2014
Last updated
10/18/2022
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