Organization · Type 2 NPI

Prairie Medical Group

Specialist · Marina Del Rey, CA

NPI number 1194846410 Active

Practice location

4644 Lincoln Blvd, Suite 428
Marina Del Rey, CA 90292

Call (310) 214-8677 Map

Fax (310) 921-1718

Mailing address

Dept 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.

35 other providers at this address

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About NPI 1194846410

Prairie Medical Group's National Provider Identifier is 1194846410, issued on Apr 3, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Marina Del Rey, CA. The record was last updated on Aug 22, 2020.