Organization · Type 2 NPI

Prairie Medical Group Inc

Specialist · Culver City, CA

NPI number 1043356272 Active

Practice location

10100 Culver Blvd
Culver City, CA 90231

Call (310) 280-2700 Map

Fax (310) 837-7334

Mailing address

Department No 2834
Los Angeles, CA 90084

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X058963 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1043356272

Prairie Medical Group Inc's National Provider Identifier is 1043356272, issued on Jan 29, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Culver City, CA. The record was last updated on Aug 22, 2020.