Organization
CHAPARRAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASAD A JEEREDDI (CEO)
(909) 469-1823
Entity
Organization
Contact information
Practice address
9140 HAVEN AVE STE 112, RANCHO CUCAMONGA, CA 91730-5414
(909) 527-8110
(909) 581-6738
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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