Martin Luther Kingjr-Multi-Service Ambulatory Care Center

LBN: Martin Luther Kingjr-Multi-Service Ambulatory Care Center
Martin Luther Kingjr-Multi-Service Ambulatory Care Center is an health care organization with primary practice located at 12021 South Wilmington Ave , Los Angeles CA 90059. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Martin Luther Kingjr-Multi-Service Ambulatory Care Center can be contacted via phone (310) 668-3972, or through Clark, Carolyn S. via phone (310) 668-5201.

Contact Information

Primary practice address
12021 South Wilmington Ave Los Angeles CA 90059
Phone: (310) 668-3972
Fax: (310) 687-2960
Website:
Map and Directions
Authorized official contact:
Name: Clark, Carolyn S.
Phone: (310) 668-5201

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X PHE14222 California

Profile Details

NPI number 1770797805
LBN Legal business name Martin Luther Kingjr-Multi-Service Ambulatory Care Center
DBA Doing business as
Authorized official Clark, Carolyn S.
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Mar 12th, 2009 - about 16 years 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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