Organization
CHAPARRAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASAD A JEEREDDI M.D. (PRESIDENT)
(909) 398-1550
Entity
Organization
Contact information
Practice address
1880 N ORANGE GROVE AVE, POMONA, CA 91767-3006
(909) 620-7200
(909) 620-5800
Mailing address
840 TOWNE CENTER DRIVE, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1488
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
03/04/2019
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