Provider Demographics
NPI:1720662885
Name:MORINIS, LEORA EVELYN (MD, MA)
Entity Type:Individual
Prefix:
First Name:LEORA
Middle Name:EVELYN
Last Name:MORINIS
Suffix:
Gender:F
Credentials:MD, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UCLA PSYCHIATRY HOUSE STAFF OFFICE
Mailing Address - Street 2:760 WESTWOOD PLAZA, SUITE 37-384
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024
Mailing Address - Country:US
Mailing Address - Phone:310-206-6721
Mailing Address - Fax:
Practice Address - Street 1:UCLA PSYCHIATRY HOUSE STAFF OFFICE
Practice Address - Street 2:760 WESTWOOD PLAZA, SUITE 37-384
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024
Practice Address - Country:US
Practice Address - Phone:310-206-6721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program