| Hawthorne Morningside Medical Clinic | |
|
12954 Hawthorne Blvd Suite 104 Hawthorne CA 90250-4418 | |
| (310) 679-0269 | |
| (310) 679-1038 |
| Full Name | Hawthorne Morningside Medical Clinic |
|---|---|
| Speciality | Pediatrics |
| Location | 12954 Hawthorne Blvd, Hawthorne, California |
| Authorized Official Name and Position | Lemmon Mcmillan (OWNER) |
| Authorized Official Contact | 3109014714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawthorne Morningside Medical Clinic 12954 Hawthorne Blvd Suite 104 Hawthorne CA 90250-4418 Ph: (310) 679-0269 | Hawthorne Morningside Medical Clinic 12954 Hawthorne Blvd Suite 104 Hawthorne CA 90250-4418 Ph: (310) 679-0269 |
| NPI Number | 1477692408 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477692408 | NPI | - | NPPES |
| GR0092930 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G77541 (California) | Secondary |
| 208000000X | Pediatrics | A82810 (California) | Primary |
Keith Ebilane, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13429 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-644-8683 Fax: 310-644-0132 | |
Behavioral Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12954 Hawthorne Blvd Ste 100, Hawthorne, CA 90250 Phone: 310-978-6900 Fax: 310-218-5484 | |
Ace Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4477 W 118th St, Suite 200, Hawthorne, CA 90250 Phone: 310-675-4440 Fax: 310-675-5816 | |
Ananias E. Ebilane, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13429 S Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-644-8683 Fax: 310-644-0132 | |
St.anthony Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13865 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-331-0555 Fax: 310-759-0555 | |
Lieu S. Nguyen, M.d., A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15032 Prairie Ave, Hawthorne, CA 90250 Phone: 310-675-7343 Fax: 310-675-1951 | |
Mehmet C Demirozu M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4477 W 118th St, Suite 303, Hawthorne, CA 90250 Phone: 310-644-9515 Fax: 310-644-3629 |