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Prairie Medical Group Inc
Specialist in Los Angeles, California
NPI 1356495626

Prairie Medical Group Inc is a Specialist based in Los Angeles, CA. Prairie Medical Group Inc practices in Los Angeles, CA. The NPI Number for Prairie Medical Group Inc is 1356495626 and holds a License No. (California).

The current practice location address for Prairie Medical Group Inc is Department No 2834, Los Angeles, CA and can be reached out via phone at 310-214-8677 and via fax at 310-921-1718.

Location: Department No 2834, Los Angeles, CA, 90084-2826
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356495626
Provider Name
Prairie Medical Group Inc
Credential
Provider Entity Type
Organization
Address
Department No 2834, Los Angeles, CA, 90084-2826
Phone Number
310-214-8677
Fax Number
310-921-1718
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0078674 05 CA
GR0078673 05 CA
GR0078671 05 CA
GR0078675 05 CA
institution
Provider Business Practice Location Address Details
Address
Department No 2834
City
Los Angeles
State
California
Zip
90084-2826
Phone Number
310-214-8677
Fax Number
310-921-1718
person
Provider Business Mailing Address Details
Address
Department No 2834
City
Los Angeles
State
California
Zip
90084-2826
Phone Number
310-214-8677
Fax Number
310-921-1718
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(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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