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MARTIN LUTHER KINGJR-MULTI-SERVICE AMBULATORY CARE CENTER
NPI 1770797805
Pharmacy - Clinic Pharmacy in Los Angeles, CA

Active since May 09, 2007
12021 SOUTH WILMINGTON AVE, LOS ANGELES, CA 90059(310) 668-3972(310) 687-2960 Get Directions Write a Review

NPPES record last updated: March 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martin Luther Kingjr-multi-service Ambulatory Care Center NPPES

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

MARTIN LUTHER KINGJR-MULTI-SERVICE AMBULATORY CARE CENTER (NPI 1770797805) is a healthcare organization registered as a clinic pharmacy in Los Angeles, California and active in the NPI registry since May 2007. The organization lists Carolyn S. Clark, Administrator, as its authorized official.

NPPES Registry Identity

NPI1770797805
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameMARTIN LUTHER KINGJR-MULTI-SERVICE AMBULATORY CARE CENTER
Location Address12021 SOUTH WILMINGTON AVELos Angeles, CA 90059
Mailing Address12021 South Wilmington AveLos Angeles, CA 90059
Phone(310) 668-3972
Fax(310) 687-2960
Organization SubpartNo
Authorized OfficialCarolyn S. ClarkAdministrator · (310) 668-5201
Enumeration DateMay 9, 2007
Last NPPES UpdateMarch 12, 2009
✔ NPI 1770797805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in CA · PHE14222
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 SOUTH WILMINGTON AVE, Los Angeles, CA 90059
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Other Providers at the Same Location NPPES 5

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

LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
12021 SOUTH WILMINGTON AVE, STE 2D
LOS ANGELES, CA 90059
Los Angeles County (424) 454-5000
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
12021 SOUTH WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (424) 454-5000
CHEYENNE PRINCESS DENNIS RADT- I
Adult Companion
12021 SOUTH WILMINGTON AVE, BLDG 18, STE 300
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6041
HEALTHRIGHT 360
Substance Abuse Rehabilitation Facility
12021 SOUTH WILMINGTON AVE, BUILDING 18, SUITE 300
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6020
BRIAN JESSE MATA
Driver
12021 SOUTH WILMINGTON AVE, BUILDING 18 SUITE 300
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6041

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 Kingjr-Multi-Service Ambulatory Care Center's NPI number?

The NPI number for Martin Luther Kingjr-Multi-Service Ambulatory Care Center is 1770797805. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Martin Luther Kingjr-Multi-Service Ambulatory Care Center located?

Martin Luther Kingjr-Multi-Service Ambulatory Care Center is located at 12021 South Wilmington Ave, Los Angeles, CA 90059. The listed phone number is (310) 668-3972.

What is Martin Luther Kingjr-Multi-Service 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 Kingjr-Multi-Service Ambulatory Care Center was last updated on March 12, 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.