Organization
CHAPARRAL MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASAD A JEEREDDI M.D. (PRESIDENT)
(909) 398-1550
Entity
Organization
Contact information
Practice address
811 E. 11TH STREET #208 & #207, UPLAND, CA 91786-4872
(909) 629-5540
(909) 946-3070
Mailing address
840 TOWNE CENTER DRIVE, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1488
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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