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

Prairie Medical Group

Organization Internal Medicine Physician · NPI 1538332960

Prairie Medical Group is an Internal Medicine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

8540 S Sepulveda Blvd
Los Angeles, CA 90045-3807
Phone: (310) 214-8677
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A53294 (CA)

Record details

NPI number1538332960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Chidi — Owner President · (310) 214-8677
NPI enumeratedApril 7, 2008
Last updated in NPPESApril 7, 2008
Mailing address8540 S Sepulveda Blvd, Los Angeles, CA 90045-3807

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