MARTIN LUTHER KING JR. MULTISERVICE AMBULATORY CARE CENTER
NPI 1629215504
Pharmacy - Clinic Pharmacy in Los Angeles, CA
- Organization
- Pharmacy
- Clinic Pharmacy
About MARTIN LUTHER KING JR. MULTISERVICE AMBULATORY CARE CENTER
This page provides the complete NPI Profile along with additional information for Martin Luther King Jr. Multiservice Ambulatory Care Center, a provider established in Los Angeles, California operating as a Pharmacy, focusing in clinic pharmacy . The healthcare provider is registered in the NPI registry with number 1629215504 assigned on January 2009. The practitioner's primary taxonomy code is 3336C0002X with license number PHE 14221 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Ms. Carolyn S. Clark (Ceo)
- NPI
- 1629215504 Verify this NPI
- Provider Name
- MARTIN LUTHER KING JR. MULTISERVICE AMBULATORY CARE CENTER
- Entity Type
- Organization
- Location Address
- 12021 WILMINGTON AVE ROOM# B068 LOS ANGELES, CA 90059
- Location Phone
- (310) 668-3966
- Mailing Address
- 12021 WILMINGTON AVE LOS ANGELES, CA 90059
- Mailing Phone
- (310) 668-4321
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-14-2009
- Last Update Date
- 01-14-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Clinic Pharmacy
- Taxonomy Code
- 3336C0002X
- Type
- Suppliers
- License No.
- PHE 14221
- License State
- CA
- Taxonomy Description
- A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
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LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629215504, enumerated as an "organization" on January 14, 2009.
The provider is located at 12021 WILMINGTON AVE ROOM# B068 LOS ANGELES, CA 90059 and the phone number is (310) 668-3966.
Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.
