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Organization
CENTINELA MEDICAL GROUP
Active
Organization
CENTINELA MEDICAL GROUP
Active
Other names
PARKLANE MEDICAL GROUP INC
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE CHIKELUE IFEORAH LAC (DIRECTOR)
(310) 677-5090
Entity
Organization
Contact information
Practice address
933 CENTINELA AVE, B, INGLEWOOD, CA 90302-1501
(310) 677-5090
(310) 677-7302
Mailing address
933 CENTINELA AVE, B, INGLEWOOD, CA 90302-1501
(310) 677-5090
(310) 677-7302
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
03/20/2013
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