1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Pharmacy
  6. NPI Profile

MARTIN LUTHER KING JR. MULTISERVICE AMBULATORY CARE CENTER
NPI 1629215504
Pharmacy - Clinic Pharmacy in Los Angeles, CA

Active since January 14, 2009
12021 WILMINGTON AVE, ROOM# B068, LOS ANGELES, CA 90059(310) 668-3966 Get Directions Write a Review

NPPES record last updated: January 14, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Martin Luther King Jr. Multiservice Ambulatory Care Center NPPES

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

MARTIN LUTHER KING JR. MULTISERVICE AMBULATORY CARE CENTER (NPI 1629215504) is a healthcare organization registered as a clinic pharmacy in Los Angeles, California and active in the NPI registry since January 2009. The organization lists Carolyn S. Clark, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629215504
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameMARTIN LUTHER KING JR. MULTISERVICE AMBULATORY CARE CENTER
Location Address12021 WILMINGTON AVE, ROOM# B068Los Angeles, CA 90059-3019
Mailing Address12021 Wilmington AveLos Angeles, CA 90059-3019 · (310) 668-4321
Phone(310) 668-3966
Organization SubpartNo
Authorized OfficialCarolyn S. ClarkCeo · (310) 668-5201
Enumeration DateJanuary 14, 2009
✔ NPI 1629215504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in CA · PHE 14221
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
12021 WILMINGTON AVE, Los Angeles, CA 90059
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

DR. MARC D LEVY MD
Otolaryngology
12021 WILMINGTON AVE, DEPT OF OTOLARYNGOLOGY
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4536
TINA M ROBINSON PA
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
PEGGY ANNA DANIELS CADCII
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (818) 996-1051
BRANDON DORFMAN
Day Training/Habilitation Specialist
12021 WILMINGTON AVE, BUILDING 18 SUITE 4D
LOS ANGELES, CA 90059
Los Angeles County (626) 425-1305
DR. KEITH NORRIS MD
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
MS. ZAHRA YAZDANI PA-C
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
DR. LATANIA SCI M.D.
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (702) 326-8726
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Clinic/Center
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4501

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 Martin Luther King Jr. Multiservice Ambulatory Care Center's NPI number?

The NPI number for Martin Luther King Jr. Multiservice Ambulatory Care Center is 1629215504. It was assigned to this organization in the NPPES registry on January 14, 2009.

Where is Martin Luther King Jr. Multiservice Ambulatory Care Center located?

Martin Luther King Jr. Multiservice Ambulatory Care Center is located at 12021 Wilmington Ave Room# B068, Los Angeles, CA 90059. The listed phone number is (310) 668-3966.

What is Martin Luther King Jr. Multiservice Ambulatory Care Center's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

When was this NPI record last updated?

The NPPES record for Martin Luther King Jr. Multiservice Ambulatory Care Center was last updated on January 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.