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

Parklane Medical Group

Organization Family Medicine Physician · NPI 1134335128

Parklane Medical Group is a Family Medicine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

12900 S Avalon Bl
Los Angeles, CA 90061
Phone: (310) 538-5222
Fax: (310) 532-7888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (CA)

Record details

NPI number1134335128
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Ifeorah — Director · (310) 538-5222
Other names Centinela Medical Group
NPI enumeratedMay 15, 2007
Last updated in NPPESAugust 22, 2020
Mailing address12900 South Avalon Bl., Los Angeles, CA 90061

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