Prairie Medical Group INC
NPI #1043356272 in Culver City, California
Provider Information
- NPI Number
- 1043356272
- Entity Type
- Organization
- Organization Name
- Prairie Medical Group INC
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 10100 CULVER BLVD
- City
- Culver City
- State
- California
- ZIP Code
- 90231
- Phone
- (310) 280-2700
Authorized Official
- Name
- DR. CHRISTOPHER C CHIDI, MD
- Title
- PRESIDENT
- Phone
- (310) 214-8677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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