Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centinela Medical Group

Organization General Practice Physician · NPI 1043654676

Centinela Medical Group is a General Practice Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

12900 Avalon Blvd
Los Angeles, CA 90061-2734
Phone: (310) 538-5222
Fax: (310) 532-7888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence FNP 31076 (CA)

Record details

NPI number1043654676
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationParklane Medical Group Inc
Authorized official George Ifeorah — Director · (310) 367-3107
Other names Parklane Medical Group Inc
NPI enumeratedApril 25, 2013
Last updated in NPPESApril 25, 2013
Mailing address12900 Avalon Blvd, Los Angeles, CA 90061-2734

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