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Contact Information

PARKLANE MEDICAL GROUP
12900 SOUTH AVALON BL.
LOS ANGELES, CA90061
 Phone: 310-538-5222
 Fax: 310-532-7888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PARKLANE MEDICAL GROUP · (Female)

NPI # 1134335128
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid GR0102062
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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