Organization
COUNTY OF LOS ANGELES
Active
Other names
Martin Luther King, Jr. Outpatient Center
Organization subpart
No
Provider details
NPI number
Authorized official
QUENTIN O'BRIEN (CEO AMBULATORY CARE NETWORK)
(213) 288-9000
Entity
Organization
Contact information
Practice address
1670 E 120TH ST FL 2, LOS ANGELES, CA 90059-3026
(310) 668-5201
Mailing address
1000 S. FREMONT AVE, UNIT #9, BLDG A11, GROUND FL, SUITE A11010, ALHAMBRA, CA 91803-8801
(626) 525-6076
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
60000132
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAP40578F
MLKH HOSP FAMILY PACT
CA
Enumeration date
08/16/2006
Last updated
07/17/2023
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