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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