Individual
THOMAS EARL MORNINGSTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8616 LA TIJERA BLVD STE 200, LOS ANGELES, CA 90045
(310) 337-1550
Mailing address
8616 LA TIJERA BLVD STE 200, LOS ANGELES, CA 90045-3945
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
GTICZBVPYRFLJQXS
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
11/16/2017
Last updated
06/28/2023
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