Prairie Medical Group | |
8540 S Sepulveda Blvd Los Angeles CA 90045-3807 | |
(310) 214-8677 | |
Not Available |
Full Name | Prairie Medical Group |
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Speciality | Internal Medicine |
Location | 8540 S Sepulveda Blvd, Los Angeles, California |
Authorized Official Name and Position | Christopher Chidi (OWNER PRESIDENT) |
Authorized Official Contact | 3102148677 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prairie Medical Group 8540 S Sepulveda Blvd Los Angeles CA 90045-3807 Ph: (310) 214-8677 | Prairie Medical Group 8540 S Sepulveda Blvd Los Angeles CA 90045-3807 Ph: (310) 214-8677 |
NPI Number | 1538332960 |
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Provider Enumeration Date | 04/07/2008 |
Last Update Date | 04/07/2008 |
Identifier | Type | State | Issuer |
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1538332960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A53294 (California) | Primary |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |