| Chaparral Medical Group Inc | |
|
9616 Archibald Ave Rancho Cucamonga CA 91730-7944 | |
| (909) 398-1550 | |
| (909) 398-1563 |
| Full Name | Chaparral Medical Group Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 9616 Archibald Ave, Rancho Cucamonga, California |
| Authorized Official Name and Position | Prasad Jeereddi (CHAIRMAN / CEO) |
| Authorized Official Contact | 9093981550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chaparral Medical Group Inc 840 Towne Center Dr Pomona CA 91767-5900 Ph: (909) 398-1550 | Chaparral Medical Group Inc 9616 Archibald Ave Rancho Cucamonga CA 91730-7944 Ph: (909) 398-1550 |
| NPI Number | 1942892302 |
|---|---|
| Provider Enumeration Date | 02/08/2021 |
| Last Update Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942892302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Carlos R. Vigil, D.o. (a Professional Corporation) Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7974 Haven Ave, Suite 210, Rancho Cucamonga, CA 91730 Phone: 909-941-0661 Fax: 909-948-5577 | |
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Prohealth Partners A Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8008 Haven Ave Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-483-1236 Fax: 909-344-3910 | |
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