Organization
MULTI SPECIALTY MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization
MULTI SPECIALTY MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE MORA MD (MEDICAL DIRECTOR/OWNER)
(213) 583-4066
Entity
Organization
Contact information
Practice address
1318 E FLORENCE AVE, LOS ANGELES, CA 90001-1935
(213) 583-4066
(213) 554-1387
Mailing address
1318 E FLORENCE AVE, LOS ANGELES, CA 90001-1935
(213) 583-4066
(213) 554-1387
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
09/10/2025
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