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

Morningside Primary Care Medical Center Mc Inc a Nevada Corporation

Organization Non-Pharmacy Dispensing Site · NPI 1255749099

Morningside Primary Care Medical Center Mc Inc a Nevada Corporation is a Non-Pharmacy Dispensing Site in Los Angeles, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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

617 W Manchester Ave
Los Angeles, CA 90044-5718
Phone: (323) 778-6215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 45227 (CA)

Record details

NPI number1255749099
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Morningside Primary Care Medical Center Inc
NPI enumeratedJuly 24, 2014
Last updated in NPPESJuly 24, 2014
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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