MARTIN LUTHER KING JR. MULTISERVICE AMBULATORY CARE CENTER
NPI 1629215504
Pharmacy - Clinic Pharmacy in Los Angeles, CA

NPI Status: Active since January 14, 2009

Contact Information

12021 WILMINGTON AVE
ROOM# B068
LOS ANGELES, CA
ZIP 90059
Phone: (310) 668-3966

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  • Organization
  • Pharmacy
  • Clinic Pharmacy

About MARTIN LUTHER KING JR. MULTISERVICE AMBULATORY CARE CENTER

This page provides the complete NPI Profile along with additional information for Martin Luther King Jr. Multiservice Ambulatory Care Center, a provider established in Los Angeles, California operating as a Pharmacy, focusing in clinic pharmacy . The healthcare provider is registered in the NPI registry with number 1629215504 assigned on January 2009. The practitioner's primary taxonomy code is 3336C0002X with license number PHE 14221 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ms. Carolyn S. Clark (Ceo)

NPI
1629215504
Provider Name
MARTIN LUTHER KING JR. MULTISERVICE AMBULATORY CARE CENTER
Entity Type
Organization
Location Address
12021 WILMINGTON AVE ROOM# B068 LOS ANGELES, CA 90059
Location Phone
(310) 668-3966
Mailing Address
12021 WILMINGTON AVE LOS ANGELES, CA 90059
Mailing Phone
(310) 668-4321
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-14-2009
Last Update Date
01-14-2009
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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

Pharmacy Clinic Pharmacy

Taxonomy Code
3336C0002X
Type
Suppliers
License No.
PHE 14221
License State
CA
Taxonomy Description
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CAROLYN S. CLARK

Authorized Official Title
CEO
Authorized Official Phone
(310) 668-5201

Reviews for MARTIN LUTHER KING JR. MULTISERVICE AMBULATORY CARE CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629215504
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2649411050
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 4 + 1 + 1 + 0 + 5 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1629215504 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750351300DR. GANGADARSHNI CHANDRAMOHAN M.D.
Individual
Pediatrics (Pediatric Nephrology)12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(310) 668-4653
1306956107 ALLEN FUNNYE M.D.
Individual
Internal Medicine12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(909) 919-9296
1841300647 STANLEY HSIA M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(909) 919-9296
1275643413 IOANNIS GIANNIKOPOULOS M.D.
Individual
Internal Medicine (Gastroenterology)12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(909) 919-9296
1326141250DR. ALICE M LEE M.D.
Individual
Radiology (Diagnostic Radiology)12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(909) 919-9296
1497846380 OHNMA WIN M.D.
Individual
Internal Medicine12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(909) 919-9296
1467543991COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Organization
General Acute Care Hospital12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(310) 668-5201
1487746780COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Organization
General Acute Care Hospital12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(310) 668-5201
1912070467DR. THOMAS YOSHIKAWA M.D.
Individual
Internal Medicine12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(562) 427-5363
1538232087DR. ALICE F SINGLETON M.D.
Individual
Pediatrics12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(562) 427-5363
1356405732DR. LINA LEE M.D.
Individual
Specialist12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(310) 668-4683
1477617561DR. JOHN J KOO MD
Individual
Internal Medicine12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(310) 668-4574
1033266937DR. LATANIA SCI M.D.
Individual
Internal Medicine12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(702) 326-8726
1689713851DR. MARK L. WOODS M.D.
Individual
Emergency Medicine12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(310) 668-4515
1437298585DR. GLENDA ANN LINDSEY MD
Individual
Pediatrics12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(310) 668-6019
1497895049MR. JERRY LAMONT BROWN PHYSICIAN ASSISTANT
Individual
Physician Assistant (Surgical)12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(310) 668-4287
1578602298MS. LISA MARIE LANDRY-TAYLOR PA
Individual
Physician Assistant12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(310) 668-5103
1124168034 DAVID O DIX MD
Individual
Anesthesiology12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(310) 668-4658
1144363748MISS STACEY ANNETTE DUNCAN PA-C
Individual
Physician Assistant (Surgical)12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(310) 668-4526
1952437626DR. NINA L ZASORIN MD
Individual
Neurological Surgery12021 WILMINGTON AVE
LOS ANGELES, CA 90059
(310) 668-4515

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629215504, enumerated in the NPI registry as an "organization" on January 14, 2009

The provider is located at 12021 Wilmington Ave Room# B068 Los Angeles, Ca 90059 and the phone number is (310) 668-3966

This medical organization specializes in Pharmacy with taxonomy code 3336C0002X with a focus in Clinic Pharmacy

This NPI record was last updated on January 14, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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