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PARKLANE MEDICAL GROUP
NPI 1336355320
General Practice in Compton, CA

Active since May 15, 2007CLIA 05D0953014 · Waiver
508 NORTH LONG BEACH BL., COMPTON, CA 90221(310) 637-3989(310) 637-9325 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Parklane Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARKLANE MEDICAL GROUP (NPI 1336355320) is a healthcare organization registered as a general practice in Compton, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists George C Ifeorah, Director, as its authorized official.

NPPES Registry Identity

NPI1336355320
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePARKLANE MEDICAL GROUP
Location Address508 NORTH LONG BEACH BL.Compton, CA 90221
Mailing Address508 North Long Beach Bl.Compton, CA 90221 · (310) 637-3989 · Fax (310) 637-9325
Phone(310) 637-3989
Fax(310) 637-9325
Organization SubpartNo
Authorized OfficialGeorge C IfeorahDirector · (310) 637-3989
Enumeration DateMay 15, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336355320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
508 NORTH LONG BEACH BL., Compton, CA 90221
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Other Identifiers 1

MedicaidGR0102060CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0953014

Parklane Medical Group · Compton, CA
Active · expires Jun 28, 2027
CLIA Number05D0953014
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorAnita W. Hibler, MD
Laboratory Phone(310) 637-3989
Laboratory LocationParklane Medical Group508 N Longbeach Blvd, Compton, CA 90221
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Parklane Medical Group's NPI number?

The NPI number for Parklane Medical Group is 1336355320. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Parklane Medical Group located?

Parklane Medical Group is located at 508 North Long Beach Bl., Compton, CA 90221. The listed phone number is (310) 637-3989.

What is Parklane Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Parklane Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0953014) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Parklane Medical Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.