Prairie Avenue Podiatry Group
Prairie Avenue Podiatry Group is a Foot & Ankle Surgery Podiatrist in Inglewood, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
323 N Prairie Ave Ste 320Inglewood, CA 90301-4502
Phone: (310) 671-5800
Fax: (310) 671-5810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X · Licence E2206 (CA) |
|---|
Record details
| NPI number | 1275068967 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Beverly Stephens — Secretary · (310) 671-5800 |
| NPI enumerated | May 1, 2017 |
| Last updated in NPPES | January 9, 2023 |
| Certification date | January 9, 2023 |
| Mailing address | 323 N Prairie Ave Ste 320, Inglewood, CA 90301-4505 |
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