NPI | 1902936099 |
---|---|
Former Legal Business Name | PARKLANE MEDICAL GROUP INC |
Entity Type | Organization |
Authorized Contact | GEORGE CHIKELUE IFEORAH Director 310-677-5090 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2007-03-07 |
Last Update Date | 2013-03-20 |