Lawrence a. Mora MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAWRENCE A. MORA MD INC

Practice address

5901 W Olympic Blvd Ste 404
Los Angeles, CA 90036-4669

Phone

(323) 456-0185

Fax

(323) 443-1744

NPI assigned

Jul 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lawrence A Mora, MDNPI 1205851615

Title

President

Phone

(323) 456-0185

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence A Mora, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1205851615
  Medicare reassignment NPD Authorized official
• Jane M Chu, N.P.

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1700184249
  NPD (past)
• Jesse F Collins Jr., P.A.-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1124290028
  NPD (past)
• Morris Halperin, PH.D.

  • Psychologist
  • Los Angeles, CA
  • NPI 1982013512
  NPD (past)
• Cynthia Maree, M.D.

  • Infectious Disease Physician
  • Bend, OR
  • NPI 1225063506
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1912930512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364669",
            "telephone_number": "323-456-0185",
            "fax_number": "323-443-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364669",
            "telephone_number": "323-456-0185",
            "fax_number": "323-443-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE A. MORA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-456-0185",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A713990",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912930512",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://pm.officeally.com/pm/Login.aspx",
            "affiliation": "N",
            "address_1": "5901 W Olympic Blvd Ste 404",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900364669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Marie Lawler, M.A.
• Kellie Lawler, RD
• Racha Tahani Lawler, LM, CPM
• Scott Daniel Lawler, PA
• Michael Wilson Lawlor
• Lawrence D. Dorr, M.D., Inc.
• Lawrence M. Lozada D.D.S. Professional Corporation
• Lawrence M. Richman, M.D. Apc
• Lawrence R Menendez M.D., a Medical Corporation
• Lawrence T. Goodwin, Jr., M.D., Inc

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.