PRAIRIE MEDICAL GROUP

LOS ANGELES, CA
NPI1538332960
Entity TypeOrganization
Authorized ContactCHRISTOPHER CHIDI
Owner President
310-214-8677
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A53294)
Enumeration Date2008-04-07
Last Update Date2008-04-07
Business Address
PRAIRIE MEDICAL GROUP
8540 S SEPULVEDA BLVD
LOS ANGELES, CA 90045-3807
Phone number: 310-214-8677
Mailing Address
PRAIRIE MEDICAL GROUP
8540 S SEPULVEDA BLVD
LOS ANGELES, CA 90045-3807
Phone number: 310-214-8677