| Parklane Medical Group | |
|
508 North Long Beach Bl. Compton CA 90221 | |
| (310) 637-3989 | |
| (310) 637-9325 |
| Full Name | Parklane Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 508 North Long Beach Bl., Compton, California |
| Authorized Official Name and Position | George C Ifeorah (DIRECTOR) |
| Authorized Official Contact | 3106373989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parklane Medical Group 508 North Long Beach Bl. Compton CA 90221 Ph: (310) 637-3989 | Parklane Medical Group 508 North Long Beach Bl. Compton CA 90221 Ph: (310) 637-3989 |
| NPI Number | 1336355320 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336355320 | NPI | - | NPPES |
| GR0102060 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (California) | Primary |
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