Provider Demographics
NPI:1487105953
Name:MEDICAL LEGAL EXPERTS
Entity type:Organization
Organization Name:MEDICAL LEGAL EXPERTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LIEN RESOLUTION REPRESENTATIVE
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:K
Authorized Official - Last Name:DUMALO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, COMMUNICATIONS
Authorized Official - Phone:310-387-9517
Mailing Address - Street 1:14623 HAWTHORNE BLVD
Mailing Address - Street 2:SUITE 406
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-1581
Mailing Address - Country:US
Mailing Address - Phone:877-204-5682
Mailing Address - Fax:310-356-7910
Practice Address - Street 1:14623 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 406
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-1581
Practice Address - Country:US
Practice Address - Phone:877-204-5682
Practice Address - Fax:310-356-7910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111NX0800X, 173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
No111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty