Martin Luther King Jr. Community Medical Group
LBN: Martin Luther King Jr Community Medical Foundation
Martin Luther King Jr. Community Medical Group is an health care organization with primary practice located at 12021 Wilmington Ave Building 11, Suite 1000, Los Angeles CA 90059. The organization recently has 8 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Interpreter, Other Service Providers / Community Health Worker, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Martin Luther King Jr Community Medical Foundation can be contacted via phone (424) 529-6755, or through Stauder, Kurt via phone (424) 529-6755.
Contact Information
Primary practice address
12021 Wilmington Ave Building 11, Suite 1000
Los Angeles CA 90059
Phone: (424) 529-6755
Fax: (424) 338-8984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Other Service Providers / Interpreter | 171R00000X | ||
| Other Service Providers / Community Health Worker | 172V00000X | ||
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | ||
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X |
Profile Details
| NPI number | 1639704323 |
|---|---|
| LBN Legal business name | Martin Luther King Jr Community Medical Foundation |
| DBA Doing business as | Martin Luther King Jr. Community Medical Group |
| Authorized official | Stauder, Kurt |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 3rd, 2020 |
| Last updated | May 14th, 2024 - about 6 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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