Organization
MLK OPCO III LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAI CHUNG (GENERAL COUNSEL)
(213) 812-5258
Entity
Organization
Contact information
Practice address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(213) 812-5258
Mailing address
9526 W PICO BLVD, LOS ANGELES, CA 90035-1202
(213) 812-5258
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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