| NPI | 1821554866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASAD A JEEREDDI President 909-398-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-03-04 |