Parklane Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PARKLANE MEDICAL GROUP

Practice address

933 Centinela Ave
B
Inglewood, CA 90302-1501

Phone

(310) 677-5090

Fax

(310) 677-7302

NPI assigned

Dec 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George Ifeorah, LAC

Title

Director

Phone

(310) 367-3107

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Parklane Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Parklane Medical Group

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1134335128
  NPD tax ID
• Parklane Medical Group

  • General Practice Physician
  • Compton, CA
  • NPI 1336355320
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164588141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 CENTINELA AVE",
            "address_2": "B",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021501",
            "telephone_number": "310-677-5090",
            "fax_number": "310-677-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 CENTINELA AVE",
            "address_2": "B",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021501",
            "telephone_number": "310-677-5090",
            "fax_number": "310-677-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKLANE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IFEORAH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-367-3107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0102061",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joo Hyun Park, PA-C
• Kelly Park
• Yulie J Park, PA
• Cassandra Marie Parker
• Savannah Parker, LVN
• Stephen Ac Parnell, M.D.
• James Arce Parra
• Victor Ramon Parra
• Lauren Michelle Parsly, LCSW
• Elizabeth Eladia Partida, MSW

• Family Medicine Physician in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.