| Chaparral Medical Group Inc. | |
|
811 E. 11th Street #208 & #207 Upland CA 91786-4872 | |
| (909) 629-5540 | |
| (909) 946-3070 |
| Full Name | Chaparral Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 811 E. 11th Street #208 & #207, Upland, California |
| Authorized Official Name and Position | Prasad A Jeereddi (PRESIDENT) |
| 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 Drive Pomona CA 91767-5900 Ph: (909) 398-1550 | Chaparral Medical Group Inc. 811 E. 11th Street #208 & #207 Upland CA 91786-4872 Ph: (909) 629-5540 |
| NPI Number | 1780146019 |
|---|---|
| Provider Enumeration Date | 04/04/2019 |
| Last Update Date | 04/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780146019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 207T00000X | Neurological Surgery | (* (Not Available)) | Secondary |
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