Organization · Type 2 NPI

Prairie Medical Group Inc

Specialist · Inglewood, CA

NPI number 1407902240 Active

Practice location

323 N. Prairie Ave, Suite 460
Inglewood, CA 90301

Call (310) 674-9010 Map

Fax (310) 677-5072

Mailing address

Department No 2834
Los Angeles, CA 90084

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X05529709 (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 1407902240

Prairie Medical Group Inc's National Provider Identifier is 1407902240, issued on Jan 26, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Inglewood, CA. The record was last updated on Aug 22, 2020.