Morningside Primary Care Medical Ctr, INC

NPI #1083643837 in Los Angeles, California

Provider Information

NPI Number
1083643837
Entity Type
Organization
Organization Name
Morningside Primary Care Medical Ctr, INC
Primary Specialty
General Practice
Enumeration Date
Jul 2, 2006
Last Updated
Dec 17, 2014

Practice Location

Address
1704 W MANCHESTER AVE
Address 2
SUITE 101
ZIP Code
90047-3034
Phone
(323) 778-6215

Authorized Official

Name
MR. LEMMON C MCMILLAN, M.D.
Title
PRESIDENT
Phone
(323) 778-6215

Specialties & Taxonomy Codes

Specialty
General Practice

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