NPI | 1902215577 |
---|---|
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 FNP31076) |
Enumeration Date | 2014-08-08 |
Last Update Date | 2014-08-08 |