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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRAIRIE MEDICAL GROUP INC

Active Organization

PRAIRIE MEDICAL GROUP INC is a Specialist organization located in INGLEWOOD, California. NPI 1407902240 is currently active in the NPPES registry. Verify at CMS.

Specialist · INGLEWOOD, CA

Registration Details

NPI Number
1407902240
Provider Type
Organization
NPI Issued
Jan 26, 2007 (19.367263144332 yrs)
Last Updated
Aug 22, 2020
License
05529709 (CA)

Practice Information

Address
323 N. PRAIRIE AVE
SUITE 460
INGLEWOOD, CA, 90301
Browse CA providers · Browse ZIP 90301
Phone
3106749010
Fax
3106775072
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.