Organization
MCMILLAN PRIMARY CARE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEMMON C MCMILLAN M.D. (OWNER)
(562) 809-0299
Entity
Organization
Contact information
Practice address
12131 CARSON ST, HAWAIIAN GARDENS, CA 90716-1154
(562) 809-0299
(562) 809-0510
Mailing address
12131 CARSON ST, HAWAIIAN GARDENS, CA 90716-1154
(562) 809-0299
(562) 809-0510
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
C34897
CA
208D00000X
General Practice Physician
C34897
CA
Other
Enumeration date
05/11/2007
Last updated
09/11/2025
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