Hawthorne Morningside Medical Clinic

NPI 1477692408 - Internal Medicine - 207R00000X

NPI Details
NPI 1477692408
Enumeration Date 02/06/2007
Last Updated 12/13/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LEMMON LEMMON
Position OWNER
Phone (310) 679-0269
Fax (310) 679-1038
Practice Location
12954 HAWTHORNE BLVD
SUITE 104
HAWTHORNE CA, 90250-4418, US
Phone (310) 679-0269
Fax (310) 679-1038
Business Location
12954 HAWTHORNE BLVD
SUITE 104
HAWTHORNE CA, 90250-4418, US
Phone (310) 679-0269
Fax (310) 679-1038
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number G77541
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According to our database, Hawthorne Morningside Medical Clinic NPI is 1477692408, taxonomy code is 207R00000X and license number is G77541, license state is located at California. Hawthorne Morningside Medical Clinic physically located at 12954 Hawthorne Blvd, Hawthorne CA, 90250-4418. NPI Number 1033115704 has the healthcare provider type.

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1477692408 NPI number is provided on an as is basis without warranty of any kind. 1477692408 is maintained by the National Plan & Provider Enumeration System. The contents of Hawthorne Morningside Medical Clinic are for informational purposes only.