| NPI | 1053350884 |
|---|---|
| Doing Business As | MY FAMILY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PRASAD JEEREDDI CEO 909-591-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| 261QE0800X Clinic/Center, Endoscopy | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-12-12 |