Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prairie Medical Group

Organization Specialist · NPI 1194846410

Prairie Medical Group is a Specialist in Marina del Rey, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

4644 Lincoln Blvd Ste 428
Marina del Rey, CA 90292
Phone: (310) 214-8677
Fax: (310) 921-1718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 058963 (CA)

Record details

NPI number1194846410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Chidi — President · (310) 214-8677
NPI enumeratedApril 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressDept 2834, Los Angeles, CA 90084

Other providers in Marina del Rey