institution
Prairie Avenue Podiatry Group
Foot & Ankle Surgery Podiatrist in Inglewood, California
NPI 1275068967

Prairie Avenue Podiatry Group is a Foot & Ankle Surgery Podiatrist based in Inglewood, CA and is specialized in Foot & Ankle Surgery. Prairie Avenue Podiatry Group practices in Inglewood, CA. The NPI Number for Prairie Avenue Podiatry Group is 1275068967 and holds a License No. E2206 (California).

The current practice location address for Prairie Avenue Podiatry Group is 323 N Prairie Ave, Inglewood, CA and can be reached out via phone at 310-671-5800 and via fax at 310-671-5810.

Location: 323 N Prairie Ave, Inglewood, CA, 90301-4505
institution
Provider Profile Details
NPI Number
1275068967
Provider Name
Prairie Avenue Podiatry Group
Credential
Provider Entity Type
Organization
Address
323 N Prairie Ave, Inglewood, CA, 90301-4505
Phone Number
310-671-5800
Fax Number
310-671-5810
Provider Enumeration Date
05/01/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CB277242 01 CA MEDICARE NHIC
institution
Provider Business Practice Location Address Details
Address
323 N Prairie Ave
City
State
Zip
90301-4502
Phone Number
310-671-5800
Fax Number
310-671-5810
person
Provider Business Mailing Address Details
Address
323 N Prairie Ave
City
State
Zip
90301-4502
Phone Number
310-671-5800
Fax Number
310-671-5810
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E2206 (California)
Definition
Definition to come...
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