Prairie Avenue Podiatry Group

LBN: Prairie Avenue Podiatry Group
Prairie Avenue Podiatry Group is an health care organization with primary practice located at 323 N Prairie Ave Suite 320, Inglewood CA 90301-4502. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Prairie Avenue Podiatry Group can be contacted via phone (310) 671-5800, or through Stephens, Beverly via phone (310) 671-5800.

Contact Information

Primary practice address
323 N Prairie Ave Suite 320 Inglewood CA 90301-4502
Phone: (310) 671-5800
Fax: (310) 671-5810
Website:
Map and Directions
Authorized official contact:
Name: Stephens, Beverly
Phone: (310) 671-5800

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E2206 California

Profile Details

NPI number 1275068967
LBN Legal business name Prairie Avenue Podiatry Group
DBA Doing business as
Authorized official Stephens, Beverly
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2017
Last updated Jan 9th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275068967 NPPES
California Other CB277242 MEDICARE NHIC

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