MARTIN LUTHER KING, JR. OUTPATIENT CENTER
NPI 1891214904
Clinic/Center in Los Angeles, CA
- Organization
- Clinic/Center
About MARTIN LUTHER KING, JR. OUTPATIENT CENTER
This page provides the complete NPI Profile along with additional information for Martin Luther King, Jr. Outpatient Center, a provider established in Los Angeles, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1891214904 assigned on September 2017. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Martin Luther King, Jr. Outpatient Center. The authorized official of this NPI record is Frank Albert (Chief, Revenue Services)
- NPI
- 1891214904 Verify this NPI
- Provider Legal Name
- COUNTY OF LOS ANGELES - AUDITOR CONTROLLER
- Other Organization Name
- MARTIN LUTHER KING, JR. OUTPATIENT CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12021 WILMINGTON AVE STE 1003 LOS ANGELES, CA 90059
- Location Phone
- (424) 338-1501
- Mailing Address
- 1670 120TH STREET NSB, MEDICAL ADMINISTRATION LOS ANGELES, CA 90059
- Mailing Phone
- (424) 338-1501
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-11-2017
- Last Update Date
- 10-02-2017
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891214904, enumerated as an "organization" on September 11, 2017.
The provider is located at 12021 WILMINGTON AVE STE 1003 LOS ANGELES, CA 90059 and the phone number is (424) 338-1501.
Clinic/Center with taxonomy code 261Q00000X.