CENTINELA MEDICAL GROUP – NPI #1134335128
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

CENTINELA MEDICAL GROUP is a provider located in LOS ANGELES, CA. NPPES has assigned the NPI number 1134335128 to CENTINELA MEDICAL GROUP on May 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTINELA MEDICAL GROUP” is a dba name, the actual legal business name for this organization is PARKLANE MEDICAL GROUP. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTINELA MEDICAL GROUP below.

NPI Profile for
PARKLANE MEDICAL GROUP

NPI Number
1134335128
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PARKLANE MEDICAL GROUP
Doing Business As (dba): CENTINELA MEDICAL GROUP
Primary location
12900 SOUTH AVALON BL.
LOS ANGELES, CA 90061
Phone: (310) 538-5222 Fax: (310) 532-7888
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GEORGE IFEORAH
DIRECTOR
Phone: (310) 538-5222
Updated
Identifiers

Identifiers for CENTINELA MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0102062
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.