| Prairie Medical Group | |
|
14921 Prairie Ave Ste 1 Lawndale CA 90260-1849 | |
| (310) 422-3444 | |
| Not Available |
| Full Name | Prairie Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 14921 Prairie Ave Ste 1, Lawndale, California |
| Authorized Official Name and Position | Raymond Sedgh (PRESIDENT) |
| Authorized Official Contact | 3104223444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Medical Group 10390 Wilshire Blvd Apt 1410 Los Angeles CA 90024-6424 Ph: (310) 422-3444 | Prairie Medical Group 14921 Prairie Ave Ste 1 Lawndale CA 90260-1849 Ph: (310) 422-3444 |
| NPI Number | 1407352453 |
|---|---|
| Provider Enumeration Date | 03/30/2018 |
| Last Update Date | 03/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407352453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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› Verified 7 days ago
Eric A. Enriquez, M.d. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14623 Hawthorne Blvd, Suite 202, Lawndale, CA 90260 Phone: 310-973-8863 Fax: 310-973-1623 | |
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