Organization
MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT STAUDER (PRESIDENT)
(424) 529-6755
Entity
Organization
Contact information
Practice address
2215 W ROSECRANS AVE STE 22, COMPTON, CA 90222-3856
(424) 529-6755
(424) 338-8984
Mailing address
2215 W ROSECRANS AVE STE 22, COMPTON, CA 90222-3856
(424) 529-6755
(424) 338-8984
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
12/12/2023
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