Organization
MARTIN LUTHER KING JR. MULTISERVICE AMBULATORY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN S. CLARK (CEO)
(310) 668-5201
Entity
Organization
Contact information
Practice address
12021 WILMINGTON AVE, ROOM# B068, LOS ANGELES, CA 90059-3019
(310) 668-3966
Mailing address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(310) 668-4321
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHE 14221
CA
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up