| NPI | 1790730786 |
|---|---|
| Doing Business As | MY FAMILY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PRASAD JEEREDDI CEO 909-591-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2025-01-01 |