Healthcare Provider Details

I. General information

NPI: 1356270912
Provider Name (Legal Business Name): LMMC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5420 LINDLEY AVE UNIT 16
ENCINO CA
91316-1923
US

IV. Provider business mailing address

5420 LINDLEY AVE UNIT 16
ENCINO CA
91316-1923
US

V. Phone/Fax

Practice location:
  • Phone: 323-413-7058
  • Fax:
Mailing address:
  • Phone: 323-413-7058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: MARK J M
Title or Position: CE0
Credential:
Phone: 323-413-7058