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Organization

CHAPARRAL MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRASAD ANJANEYA JEEREDDI MD (CEO)
(909) 398-1550
Entity
Organization

Contact information

Practice address
9170 HAVEN AVE STE 120, RANCHO CUCAMONGA, CA 91730-5416
(909) 476-8700
(909) 987-1400
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1488

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
207RR0500X
Rheumatology Physician

Other

Enumeration date
10/25/2022
Last updated
10/25/2022
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