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 provides Specialist services 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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