location
search-icon
institution
Prairie Medical Group Inc
Specialist in Santa Monica, California
NPI 1386790145

Prairie Medical Group Inc is a Specialist based in Los Angeles, CA. Prairie Medical Group Inc practices in Santa Monica, CA. The NPI Number for Prairie Medical Group Inc is 1386790145 and holds a License No. 119553 (California).

The current practice location address for Prairie Medical Group Inc is 2825 Santa Monica Blvd, Santa Monica, CA and can be reached out via phone at 310-082-9313 and via fax at 310-828-9156.

Location: 2825 Santa Monica Blvd, Santa Monica, CA, 90084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386790145
Provider Name
Prairie Medical Group Inc
Credential
Provider Entity Type
Organization
Address
2825 Santa Monica Blvd, Santa Monica, CA, 90084
Phone Number
310-082-9313
Fax Number
310-828-9156
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
GR0078674 05 CA
institution
Provider Business Practice Location Address Details
Address
2825 Santa Monica Blvd
City
Santa Monica
State
California
Zip
90404
Phone Number
310-082-9313
Fax Number
310-828-9156
person
Provider Business Mailing Address Details
Address
2825 Santa Monica Blvd
City
Santa Monica
State
California
Zip
90404
Phone Number
310-082-9313
Fax Number
310-828-9156
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
119553 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.