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
KURT STAUDER (PRESIDENT)
(424) 338-8760
Entity
Organization
Contact information
Practice address
12021 WILMINGTON AVE STE 1700, LOS ANGELES, CA 90059-3019
(424) 529-6755
Mailing address
PO BOX 840113, LOS ANGELES, CA 90084-0163
(424) 529-6755
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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