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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

NPI # 1134335128
LBN Legal business name PARKLANE MEDICAL GROUP
Authorized official GEORGE IFEORAH - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA Medicaid GR0102062
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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