Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Morningside Primary Care Medical Ctr, Inc

Organization General Practice Physician · NPI 1083643837

Morningside Primary Care Medical Ctr, Inc provides General Practice Physician services in Los Angeles, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1704 W Manchester Ave Ste 101
Los Angeles, CA 90047-3034 Not confirmed with CMS for 11 years — call before visiting
Phone: (323) 778-6215
Fax: (323) 778-6312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1083643837
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lemmon McMillan — President · (323) 778-6215
NPI enumeratedJuly 2, 2006
Last updated in NPPESDecember 17, 2014
Mailing address1704 W Manchester Ave, Suite 101, Los Angeles, CA 90047-3034

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