MORNINGSIDE PRIMARY CARE MEDICAL CENTER INC
NPI 1255749099
Non-Pharmacy Dispensing Site in Los Angeles, CA

Active since July 24, 2014
617 W MANCHESTER AVE, LOS ANGELES, CA 90044(323) 778-6215 Get Directions Write a Review

NPPES record last updated: July 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Morningside Primary Care Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MORNINGSIDE PRIMARY CARE MEDICAL CENTER INC (NPI 1255749099) is a healthcare organization registered as a non-pharmacy dispensing site in Los Angeles, California and active in the NPI registry since July 2014. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1255749099
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMORNINGSIDE PRIMARY CARE MEDICAL CENTER MC INC A NEVADA CORPORATION
Location Address617 W MANCHESTER AVELos Angeles, CA 90044-5718
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateJuly 24, 2014
NPI 1255749099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in CA · 45227
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
617 W MANCHESTER AVE, Los Angeles, CA 90044

Other Names 1

Doing Business AsMorningside Primary Care Medical Center Inc

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
617 W MANCHESTER AVE
LOS ANGELES, CA 90044
Family Medicine
617 W MANCHESTER AVE
LOS ANGELES, CA 90044
Urology
617 W MANCHESTER AVE
LOS ANGELES, CA 90044
Nurse Practitioner (Family)
617 W MANCHESTER AVE
LOS ANGELES, CA 90044
General Practice
617 W MANCHESTER AVE
LOS ANGELES, CA 90044
General Practice
617 W MANCHESTER AVE
LOS ANGELES, CA 90044
Internal Medicine
617 W MANCHESTER AVE
LOS ANGELES, CA 90044
Nurse Practitioner (Primary Care)
617 W MANCHESTER AVE
LOS ANGELES, CA 90044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Morningside Primary Care Medical Center Mc Inc A Nevada Corporation's NPI number?

The NPI number for Morningside Primary Care Medical Center Mc Inc A Nevada Corporation is 1255749099. It was assigned to this organization in the NPPES registry on July 24, 2014. The provider is doing business as Morningside Primary Care Medical Center Inc.

Where is Morningside Primary Care Medical Center Mc Inc A Nevada Corporation located?

Morningside Primary Care Medical Center Mc Inc A Nevada Corporation is located at 617 W Manchester Ave, Los Angeles, CA 90044. The listed phone number is (323) 778-6215.

What is Morningside Primary Care Medical Center Mc Inc A Nevada Corporation's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Morningside Primary Care Medical Center Mc Inc A Nevada Corporation was last updated on July 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.