Hawthorne Morningside Medical Clinic

LBN: Hawthorne Morningside Medical Clinic
Hawthorne Morningside Medical Clinic is an health care organization with primary practice located at 12954 Hawthorne Blvd Suite 104, Hawthorne CA 90250-4418. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Hawthorne Morningside Medical Clinic can be contacted via phone (310) 679-0269, or through Mcmillan, Lemmon via phone (310) 901-4714.

Contact Information

Primary practice address
12954 Hawthorne Blvd Suite 104 Hawthorne CA 90250-4418
Fax: (310) 679-1038
Website:
Authorized official contact:
Name: Mcmillan, Lemmon Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G77541 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A82810 California

Profile Details

NPI number 1477692408
LBN Legal business name Hawthorne Morningside Medical Clinic
DBA Doing business as
Authorized official Mcmillan, Lemmon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Dec 13th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477692408 NPPES
California MEDICAID GR0092930

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