| Parklane Medical Group | |
|
933 Centinela Ave B Inglewood CA 90302-1501 | |
| (310) 677-5090 | |
| (310) 677-7302 |
| Full Name | Parklane Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 933 Centinela Ave, Inglewood, California |
| Authorized Official Name and Position | George Ifeorah (DIRECTOR) |
| Authorized Official Contact | 3103673107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parklane Medical Group 933 Centinela Ave B Inglewood CA 90302-1501 Ph: (310) 677-5090 | Parklane Medical Group 933 Centinela Ave B Inglewood CA 90302-1501 Ph: (310) 677-5090 |
| NPI Number | 1164588141 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164588141 | NPI | - | NPPES |
| GR0102061 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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