Organization
CHAPARRAL MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASAD JEEREDDI MD (DIRECTOR)
(909) 398-1550
Entity
Organization
Contact information
Practice address
520 E FOOTHILL BLVD STE A, POMONA, CA 91767-1200
(909) 622-3065
(909) 784-3399
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1488
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
225B00000X
Pulmonary Function Technologist
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/09/2023
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