MARTIN LUTHER KINGJR-MULTI-SERVICE AMBULATORY CARE CENTER
NPI 1770797805
Pharmacy - Clinic Pharmacy in Los Angeles, CA
NPI Status: Active since May 09, 2007
Contact Information
12021 SOUTH WILMINGTON AVE
LOS ANGELES, CA
ZIP 90059
Phone: (310) 668-3972
Fax: (310) 687-2960
- Organization
- Pharmacy
- Clinic Pharmacy
About MARTIN LUTHER KINGJR-MULTI-SERVICE AMBULATORY CARE CENTER
This page provides the complete NPI Profile along with additional information for Martin Luther Kingjr-multi-service 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 1770797805 assigned on May 2007. The practitioner's primary taxonomy code is 3336C0002X with license number PHE14222 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Ms. Carolyn S. Clark (Administrator)
- NPI
- 1770797805
- Provider Name
- MARTIN LUTHER KINGJR-MULTI-SERVICE AMBULATORY CARE CENTER
- Entity Type
- Organization
- Location Address
- 12021 SOUTH WILMINGTON AVE LOS ANGELES, CA 90059
- Location Phone
- (310) 668-3972
- Location Fax
- (310) 687-2960
- Mailing Address
- 12021 SOUTH WILMINGTON AVE LOS ANGELES, CA 90059
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-09-2007
- Last Update Date
- 03-12-2009
- 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
Pharmacy Clinic Pharmacy
- Taxonomy Code
- 3336C0002X
- Type
- Suppliers
- License No.
- PHE14222
- 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.
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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. | |||||||||
| 1 | 7 | 7 | 0 | 7 | 9 | 7 | 8 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 14 | 9 | 14 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 4 + 9 + 1 + 4 + 8 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1770797805 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699489054 | CHEYENNE PRINCESS DENNIS RADT- I Individual | Counselor (Addiction (Substance Use Disorder)) | 12021 SOUTH WILMINGTON AVE BLDG 18, STE 300 LOS ANGELES, CA 90059 (424) 454-6041 |
| 1417977877 | LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 12021 SOUTH WILMINGTON AVE STE 2D LOS ANGELES, CA 90059 (424) 454-5000 |
| 1487687018 | LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 12021 SOUTH WILMINGTON AVE LOS ANGELES, CA 90059 (424) 454-5000 |
| 1902504194 | BRIAN JESSE MATA Individual | Driver | 12021 SOUTH WILMINGTON AVE BUILDING 18 SUITE 300 LOS ANGELES, CA 90059 (424) 454-6041 |
| 1881341089 | HEALTHRIGHT 360 Organization | Substance Abuse Rehabilitation Facility | 12021 SOUTH WILMINGTON AVE BUILDING 18, SUITE 300 LOS ANGELES, CA 90059 (424) 454-6020 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770797805, enumerated in the NPI registry as an "organization" on May 09, 2007
The provider is located at 12021 South Wilmington Ave Los Angeles, Ca 90059 and the phone number is (310) 668-3972
This medical organization specializes in Pharmacy with taxonomy code 3336C0002X with a focus in Clinic Pharmacy
This NPI record was last updated on May 09, 2007. 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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