# CHAPARRAL MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FOOTHILL URGENT CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598122418
- **Authorized official:** PRASAD JEEREDDI M.D. (M.D./PRESIDENT)
- **Authorized official phone:** (909) 398-1550

## Contact information

- **Practice address:** 520 E. FOOTHILL BLVD. SUITES C & A, POMONA, CA 91767-1200
- **Practice address phone:** (909) 398-4895
- **Practice address fax:** (909) 398-4925
- **Mailing address:** 840 TOWNE CENTER DR, POMONA, CA 91767-5900
- **Mailing address phone:** (909) 398-1550
- **Mailing address fax:** (909) 398-1488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/22/2016
- **Last updated:** 08/30/2018
