ATLANTIC AVENUE MEDICAL CLINIC
NPI 1477550788
Specialist in Lynwood, CA

Q: What is Atlantic Avenue Medical Clinic's NPI number?

The NPI number for Atlantic Avenue Medical Clinic is 1477550788. It was assigned to this organization in the NPPES registry on June 30, 2005.

Q: What is Atlantic Avenue Medical Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since June 30, 2005

3737 MARTIN LUTHER KING JR BLVD STE 333, LYNWOOD, CA 90262(323) 562-3414(323) 562-3100 Get Directions Write a Review

NPPES record last updated: October 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Atlantic Avenue Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATLANTIC AVENUE MEDICAL CLINIC (NPI 1477550788) is a healthcare organization registered as a specialist in Lynwood, California and active in the NPI registry since June 2005. The organization lists Keith Ivor Mootoo, Md, as its authorized official.

NPPES Registry Identity

NPI1477550788

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameATLANTIC AVENUE MEDICAL CLINIC

Location Address3737 MARTIN LUTHER KING JR BLVD STE 333Lynwood, CA 90262-3528

Mailing AddressPo Box 619Lynwood, CA 90262-0619 · (323) 562-3414 · Fax (323) 562-3100

Phone(323) 562-3414

Fax(323) 562-3100

Organization SubpartNo

Authorized OfficialKeith Ivor MootooMd · (323) 562-3414

Enumeration DateJune 30, 2005

Last NPPES UpdateOctober 16, 2018

✔ NPI 1477550788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A35223

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3737 MARTIN LUTHER KING JR BLVD STE 333, Lynwood, CA 90262

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. IRMA LETICIA SALGUERO ORTIZ NP

Nurse Practitioner (Acute Care)

3737 MARTIN LUTHER KING JR BLVD STE 333
LYNWOOD, CA 90262

Los Angeles County (323) 562-3414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atlantic Avenue Medical Clinic's NPI number?

The NPI number for Atlantic Avenue Medical Clinic is 1477550788. It was assigned to this organization in the NPPES registry on June 30, 2005.

Where is Atlantic Avenue Medical Clinic located?

Atlantic Avenue Medical Clinic is located at 3737 Martin Luther King Jr Blvd Ste 333, Lynwood, CA 90262. The listed phone number is (323) 562-3414.

What is Atlantic Avenue Medical Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Atlantic Avenue Medical Clinic was last updated on October 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.