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Prairie Medical Group Inc
Specialist in Inglewood, California
NPI 1407902240

Prairie Medical Group Inc is a Specialist based in Los Angeles, CA. Prairie Medical Group Inc practices in Inglewood, CA. The NPI Number for Prairie Medical Group Inc is 1407902240 and holds a License No. 05529709 (California).

The current practice location address for Prairie Medical Group Inc is 323 N. Prairie Ave, Inglewood, CA and can be reached out via phone at 310-674-9010 and via fax at 310-677-5072.

Location: 323 N. Prairie Ave, Inglewood, CA, 90084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407902240
Provider Name
Prairie Medical Group Inc
Credential
Provider Entity Type
Organization
Address
323 N. Prairie Ave, Inglewood, CA, 90084
Phone Number
310-674-9010
Fax Number
310-677-5072
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0078671 05 CA
institution
Provider Business Practice Location Address Details
Address
323 N. Prairie Ave
City
Inglewood
State
California
Zip
90301
Phone Number
310-674-9010
Fax Number
310-677-5072
person
Provider Business Mailing Address Details
Address
323 N. Prairie Ave
City
Inglewood
State
California
Zip
90301
Phone Number
310-674-9010
Fax Number
310-677-5072
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
05529709 (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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