Organization
CHAPARRAL MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASAD A JEEREDDI M.D. (CHIEF MEDICAL OFFICER)
(909) 398-1550
Entity
Organization
Contact information
Practice address
5475 WALNUT AVE UNIT C, CHINO, CA 91710-2609
(909) 465-0209
(909) 465-0318
Mailing address
840 TOWNE CENTER DRIVE, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/14/2019
Last updated
04/08/2025
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