Centinela Medical Group

NPI #1043654676 in Los Angeles, California

Provider Information

NPI Number: 1043654676
Entity Type: Organization
Organization Name: Centinela Medical Group
Subpart: Yes (part of a larger organization)
Parent Organization: PARKLANE MEDICAL GROUP INC
Primary Specialty: General Practice
Enumeration Date: Apr 25, 2013
Last Updated: Apr 25, 2013

Practice Location

Address: 12900 AVALON BLVD
City: Los Angeles
State: California
ZIP Code: 90061-2734
Phone: (310) 538-5222

Authorized Official

Name: DR. GEORGE CHIKE IFEORAH, LAC, QME
Title: DIRECTOR
Phone: (310) 367-3107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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