Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centinela Medical Group

Organization General Practice Physician · NPI 1902215577

Centinela Medical Group provides General Practice Physician services in Los Angeles, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

4405 S Main St
Los Angeles, CA 90037-2731 Not confirmed with CMS for 12 years — call before visiting
Phone: (323) 231-0965
Fax: (323) 231-6512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence FNP31076 (CA)

Record details

NPI number1902215577
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationParklane Medical Group
Authorized official George Ifeorah — Director · (310) 367-3107
Other names Parklane Medical Group Inc
NPI enumeratedAugust 8, 2014
Last updated in NPPESAugust 8, 2014
Mailing address4405 S Main St, Los Angeles, CA 90037-2731

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