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 1043356272

Prairie Medical Group Inc provides Specialist services in Culver City, 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

10100 Culver Blvd
Culver City, CA 90231
Phone: (310) 280-2700
Fax: (310) 837-7334
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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 number1043356272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Chidi — President · (310) 214-8677
NPI enumeratedJanuary 29, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressDepartment No 2834, Los Angeles, CA 90084

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