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
914 W FOOTHILL BLVD STE A, UPLAND, CA 91786-3785
(909) 285-6717
(909) 946-8700
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-0128
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
05/11/2023
Last updated
02/24/2026
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