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 provides Specialist services 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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