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Contact Information

MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION
12021 WILMINGTON AVE
BUILDING 11, SUITE 1000
LOS ANGELES, CA90059
 Phone: 424-529-6755
 Fax: 424-338-8984
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Case Manager/Care Coordinator

171M00000X
 

Community Health Worker

172V00000X
 

Interpreter

171R00000X
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION

NPI # 1639704323
LBN Legal business name MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION
Authorized official KURT STAUDER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/03/2020
Last updated 05/14/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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