Organization
CHAPARRAL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASAD JEEREDDI (CHAIRMAN / CEO)
(909) 398-1550
Entity
Organization
Contact information
Practice address
9616 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730-7944
(909) 398-1550
(909) 398-1563
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1563
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
08/16/2023
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