Organization
CHAPARRAL MEDICAL GROUP, INC.
Active
Other names
FOOTHILL URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
PRASAD JEEREDDI M.D. (M.D./PRESIDENT)
(909) 398-1550
Entity
Organization
Contact information
Practice address
520 E. FOOTHILL BLVD. SUITES C & A, POMONA, CA 91767-1200
(909) 398-4895
(909) 398-4925
Mailing address
840 TOWNE CENTER DR, 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
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2016
Last updated
08/30/2018
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