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

Prairie Medical Group Inc

Organization Specialist · NPI 1407902240

Prairie Medical Group Inc is a Specialist in Inglewood, 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

323 N Prairie Ave Ste 460
Inglewood, CA 90301
Phone: (310) 674-9010
Fax: (310) 677-5072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 05529709 (CA)

Record details

NPI number1407902240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Chidi — President · (310) 214-8677
NPI enumeratedJanuary 26, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressDepartment No 2834, Los Angeles, CA 90084

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