Most Relevant Information
Provider Data
| NPI Number: | 1003320748 |
| Provider Name: | THOMAS EARL MORNINGSTAR |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/16/2017 |
| Last Updated: | 06/28/2023 |
Provider Practice Location
8616 LA TIJERA BLVD STE 200
LOS ANGELES
CA
90045
Practice Location Phone/Fax
| Phone: | 3103371550 |
| Fax: |
Provider Mailing Location
8616 LA TIJERA BLVD STE 200
LOS ANGELES
CA
900453945
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |