Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Martin Luther King Jr Community Medical Foundation

Organization Case Manager/Care Coordinator · NPI 1356899777

Martin Luther King Jr Community Medical Foundation is a Case Manager/Care Coordinator in Los Angeles, California. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
10
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Practice location Address checks out

12021 Wilmington Ave Bldg 11 Ste 1000
Los Angeles, CA 90059-3019
Phone: (424) 529-6755
Fax: (424) 338-8984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Case Manager/Care Coordinator Taxonomy 171M00000X
Interpreter Taxonomy 171R00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Maternal & Fetal Medicine Physician Taxonomy 207VM0101X
Pediatrics Physician Taxonomy 208000000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1356899777
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Stout — Coo · (424) 529-6755
Other names Martin Lurher King Jr. Community Medical Group
NPI enumeratedSeptember 14, 2016
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026
Mailing address12021 Wilmington Ave Bldg 11, Los Angeles, CA 90059-3019

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