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

Centinela Medical Group

Organization General Practice Physician · NPI 1902215577

Centinela Medical Group is a General Practice Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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Practice location Address checks out

4405 S Main St
Los Angeles, CA 90037-2731
Phone: (323) 231-0965
Fax: (323) 231-6512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence FNP31076 (CA)

Record details

NPI number1902215577
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationParklane Medical Group
Authorized official George Ifeorah — Director · (310) 367-3107
Other names Parklane Medical Group Inc
NPI enumeratedAugust 8, 2014
Last updated in NPPESAugust 8, 2014
Mailing address4405 S Main St, Los Angeles, CA 90037-2731

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