| Martin Luther King, Jr. Multi-service | |
|
1670 East 120 Th Street , Martin Luther King Jr. Pharmacy Los Angeles CA 90059-3019 | |
| (424) 338-1930 | |
| Not Available |
| Full Name | Martin Luther King, Jr. Multi-service |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1670 East 120 Th Street ,, Los Angeles, California |
| Authorized Official Name and Position | Cynthia M Oliver (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4243381001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Luther King, Jr. Multi-service 1670 E. 120th St. Martin Luther King Jr. Pharmacy Los Angeles CA 90059 Ph: (424) 338-1930 | Martin Luther King, Jr. Multi-service 1670 East 120 Th Street , Martin Luther King Jr. Pharmacy Los Angeles CA 90059-3019 Ph: (424) 338-1930 |
| NPI Number | 1962811265 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962811265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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