MARTIN LUTHER KING JR. COMMUNITY MEDICAL GROUP
NPI 1639704323
Internal Medicine in Los Angeles, CA

Q: What is Martin Luther King Jr Community Medical Foundation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 03, 2020

12021 WILMINGTON AVE, BUILDING 11, SUITE 1000, LOS ANGELES, CA 90059(424) 529-6755(424) 338-8984 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 14, 2024, Dec 12, 2023, Jan 17, 2023 and 1 more (4 updates tracked since 2020).

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About Martin Luther King Jr. Community Medical Group NPPES

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

MARTIN LUTHER KING JR. COMMUNITY MEDICAL GROUP (NPI 1639704323) is a healthcare organization registered as an internal medicine in Los Angeles, California and active in the NPI registry since March 2020. The organization maintains a secondary practice location in Compton and lists Kurt Stauder, President, as its authorized official.

NPPES Registry Identity

NPI1639704323

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION

Location Address12021 WILMINGTON AVE, BUILDING 11, SUITE 1000Los Angeles, CA 90059

Mailing Address2215 W Rosecrans Ave Ste 22Compton, CA 90222-3856 · (424) 338-8760 · Fax (424) 338-8984

Phone(424) 529-6755

Fax(424) 338-8984

Organization SubpartNo

Authorized OfficialKurt StauderPresident · (424) 529-6755

Enumeration DateMarch 3, 2020

Last NPPES UpdateMay 14, 20244 updates tracked since enumeration

NPPES CertifiedMay 6, 2024

✔ NPI 1639704323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedInterpreterTaxonomy 171R00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

12021 WILMINGTON AVE, Los Angeles, CA 90059

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Other Names 1

Doing Business AsMartin Luther King Jr. Community Medical Group

Secondary Practice Location 1

Location 12215 W Rosecrans Ave Ste 22Compton, CA 90222-3856 · Phone (424) 338-8760 · Fax (424) 338-8984

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 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 Community Medical Foundation's NPI number?

The NPI number for Martin Luther King Jr Community Medical Foundation is 1639704323. It was assigned to this organization in the NPPES registry on March 3, 2020. The provider is doing business as Martin Luther King Jr. Community Medical Group.

Where is Martin Luther King Jr Community Medical Foundation located?

Martin Luther King Jr Community Medical Foundation is located at 12021 Wilmington Ave Building 11, Suite 1000, Los Angeles, CA 90059. The listed phone number is (424) 529-6755.

What is Martin Luther King Jr Community Medical Foundation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Martin Luther King Jr Community Medical Foundation was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.