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

Prairie Medical Group Inc

Organization Specialist · NPI 1356495626

Prairie Medical Group Inc is a Specialist in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

Department No 2834
Los Angeles, CA 90084-2826
Phone: (310) 214-8677
Fax: (310) 921-1718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (CA)

Record details

NPI number1356495626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Chidi — President · (310) 214-8677
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJuly 21, 2022
Mailing addressDepartment No 2834, Los Angeles, CA 90084-2826

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