Organization
CHAPARRAL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASAD A JEEREDDI MD (PRESIDENT)
(909) 469-1823
Entity
Organization
Contact information
Practice address
1200 VENICE BLVD STE 200, LOS ANGELES, CA 90006-5518
(323) 475-1809
(909) 752-6768
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1488
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
208D00000X
General Practice Physician
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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