Chino Medical Group, INC
Health Maintenance Organization in Chino, CA. Organization (NPI-2).
NPI number1790730786
StatusActive
Last updated in NPPESJan 1, 2025
Details
- NPI
- 1790730786
- Entity type
- Organization (NPI-2)
- Legal business name
- Chino Medical Group, INC
- Organization subpart
- No
- Enumeration date
- May 24, 2006
- Certification date
- Jan 1, 2025
- Last updated
- Jan 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Other names
- My Family Medical Group (Doing Business As)
Practice location
5475 Walnut AveChino, CA 91710-2609
Phone 909-591-6446 · Fax 909-591-1309
Mailing address
5475 Walnut AveChino, CA 91710-2609
Phone 909-591-6446 · Fax 909-591-1309
Authorized official
Prasad Jeereddi
Ceo
9095916446
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