Organization
CHINO VALLEY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKAMMA REDDY (PRESIDENT)
(909) 464-8980
Entity
Organization
Contact information
Practice address
5450 JEFFERSON AVE, STE 3, CHINO, CA 91710-3522
(909) 464-8980
(909) 464-8987
Mailing address
5450 JEFFERSON AVE, STE 3, CHINO, CA 91710-3522
(909) 464-8980
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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