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Prairie Medical Group Inc
Specialist in Culver City, California
NPI 1043356272

Prairie Medical Group Inc is a Specialist based in Los Angeles, CA. Prairie Medical Group Inc practices in Culver City, CA. The NPI Number for Prairie Medical Group Inc is 1043356272 and holds a License No. 058963 (California).

The current practice location address for Prairie Medical Group Inc is 10100 Culver Blvd, Culver City, CA and can be reached out via phone at 310-280-2700 and via fax at 310-837-7334.

Location: 10100 Culver Blvd, Culver City, CA, 90084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043356272
Provider Name
Prairie Medical Group Inc
Credential
Provider Entity Type
Organization
Address
10100 Culver Blvd, Culver City, CA, 90084
Phone Number
310-280-2700
Fax Number
310-837-7334
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0078673 05 CA
institution
Provider Business Practice Location Address Details
Address
10100 Culver Blvd
City
Culver City
State
California
Zip
90231
Phone Number
310-280-2700
Fax Number
310-837-7334
person
Provider Business Mailing Address Details
Address
10100 Culver Blvd
City
Culver City
State
California
Zip
90231
Phone Number
310-280-2700
Fax Number
310-837-7334
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
058963 (California)
Definition
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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