Prairie Medical Group Inc in Inglewood - Specialist
Prairie Medical Group Inc - NPI 1407902240
Prairie Medical Group Inc is a Specialist in Inglewood, California. Prairie Medical Group Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Prairie Medical Group Inc is 1407902240. The last update date is 2020-08-22.
Prairie Medical Group Inc's current location address is 323 N. Prairie Ave, Inglewood, California. You can contact this provider via phone number 3106749010 and fax number 3106775072. The mailing address for Prairie Medical Group Inc is 323 N. Prairie Ave, Inglewood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prairie Medical Group Inc |
|---|---|
| Address | 323 N. Prairie Ave, Inglewood, California |
| Phone Number | 3106749010 |
| Fax Number | 3106775072 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Chidi C Christopher |
| Credentials | MD |
| Telephone Number | 3102148677 |
NPI Number Detail
| NPI Number | 1407902240 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 323 N. Prairie Ave |
|---|---|
| City | Inglewood |
| State | California (CA) |
| Post Code | 90301 |
| Phone Number | 3106749010 |
| Fax Number | 3106775072 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 5529709 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0078671 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Prairie Medical Group Inc by the Centers for Medicare & Medicaid Services?
The Prairie Medical Group Inc has been issued the NPI (National Provider Identifier) 1407902240 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Prairie Medical Group Inc located?
The Prairie Medical Group Inc is located at 323 N. Prairie Ave, Inglewood, CA 90301.
What is the area of specialization for Prairie Medical Group Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Prairie Medical Group Inc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407902240 to Prairie Medical Group Inc?
The Prairie Medical Group Inc received its 1407902240 assignment from the Centers for Medicare & Medicaid Services on 2007-01-26.
As of what date was the information regarding Prairie Medical Group Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Prairie Medical Group Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.