Healthcare Provider Details

I. General information

NPI: 1063050441
Provider Name (Legal Business Name): MEDICAL LEGAL EXPERTS MLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2019
Last Update Date: 01/03/2020
Certification Date: 01/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4623 HAWTHORNE BLVD. SUITE 401
LAWNDALE CA
90260
US

IV. Provider business mailing address

14623 HAWTHORNE BLVD. SUITE 401
LAWNDALE CA
90260
US

V. Phone/Fax

Practice location:
  • Phone: 800-411-1006
  • Fax: 310-356-7910
Mailing address:
  • Phone: 800-411-1006
  • Fax: 310-356-7910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. ALVIN LEE
Title or Position: CEO
Credential:
Phone: 800-411-1006