institution
Centinela Medical Group
General Practice Physician in Los Angeles, California
NPI 1043654676

Centinela Medical Group is a General Practice Physician based in Los Angeles, CA. Centinela Medical Group practices in Los Angeles, CA. The NPI Number for Centinela Medical Group is 1043654676 and holds a License No. FNP 31076 (California).

The current practice location address for Centinela Medical Group is 12900 Avalon Blvd, Los Angeles, CA and can be reached out via phone at 310-538-5222 and via fax at 310-532-7888.

Location: 12900 Avalon Blvd, Los Angeles, CA, 90061-2734
institution
Provider Profile Details
NPI Number
1043654676
Provider Name
Centinela Medical Group
Credential
Provider Entity Type
Organization
Address
12900 Avalon Blvd, Los Angeles, CA, 90061-2734
Phone Number
310-538-5222
Fax Number
310-532-7888
Provider Enumeration Date
04/25/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12900 Avalon Blvd
City
State
Zip
90061-2734
Phone Number
310-538-5222
Fax Number
310-532-7888
person
Provider Business Mailing Address Details
Address
12900 Avalon Blvd
City
State
Zip
90061-2734
Phone Number
310-538-5222
Fax Number
310-532-7888
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
FNP 31076 (California)
Definition
Definition to come...
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