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Organization
MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION
Active
Organization
MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION
Active
Parent organization
MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION
Authorized official
JEFFREY STOUT (COO)
(424) 338-8711
Entity
Organization
Contact information
Practice address
1122 W WASHINGTON BLVD STE 305, LOS ANGELES, CA 90015-3349
(424) 529-6755
(424) 338-8984
Mailing address
1122 W WASHINGTON BLVD STE 305, LOS ANGELES, CA 90015-3349
(424) 529-6755
(424) 338-8984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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