| NPI | 1043654676 |
|---|---|
| Former Legal Business Name | PARKLANE MEDICAL GROUP INC |
| Entity Type | Organization |
| Authorized Contact | GEORGE CHIKE IFEORAH Director 310-367-3107 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA FNP 31076) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |