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MLK OPCO III LLC
NPI 1912706847
Clinic/Center - Adult Mental Health in Los Angeles, CA

Active since March 12, 2025
12021 WILMINGTON AVE, LOS ANGELES, CA 90059(213) 812-5258 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mlk Opco Iii Llc NPPES

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

MLK OPCO III LLC (NPI 1912706847) is a healthcare organization registered as an adult mental health in Los Angeles, California and active in the NPI registry since March 2025. The organization lists Jai Chung, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1912706847
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMLK OPCO III LLC
Location Address12021 WILMINGTON AVELos Angeles, CA 90059-3019
Mailing Address9526 W Pico BlvdLos Angeles, CA 90035-1202 · (213) 812-5258
Phone(213) 812-5258
Organization SubpartNo
Authorized OfficialJai ChungGeneral Counsel · (213) 812-5258
Enumeration DateMarch 12, 2025
NPPES CertifiedMarch 11, 2025
✔ NPI 1912706847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
12021 WILMINGTON AVE, Los Angeles, CA 90059
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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 Mlk Opco III LLC's NPI number?

The NPI number for Mlk Opco III LLC is 1912706847. It was assigned to this organization in the NPPES registry on March 12, 2025.

Where is Mlk Opco III LLC located?

Mlk Opco III LLC is located at 12021 Wilmington Ave, Los Angeles, CA 90059. The listed phone number is (213) 812-5258.

What is Mlk Opco III LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Mlk Opco III LLC was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.