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 1639704323

Martin Luther King Jr Community Medical Foundation is a Case Manager/Care Coordinator in Los Angeles, California. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
8
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Practice location Address checks out

12021 Wilmington Ave Bldg 11 Ste 1000
Los Angeles, CA 90059
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.

Additional practice locations (1)

  • 2215 W Rosecrans Ave Ste 22, Compton, CA 90222-3856 — (424) 338-8760

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Interpreter Taxonomy 171R00000X
Community Health Worker Taxonomy 172V00000X
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X
Adult Medicine Physician Taxonomy 207QA0505X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Pulmonary Disease Physician Taxonomy 207RP1001X

Record details

NPI number1639704323
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kurt Stauder — President · (424) 529-6755
Other names Martin Luther King Jr. Community Medical Group
NPI enumeratedMarch 3, 2020
Last updated in NPPESMay 14, 2024
Certification dateMay 6, 2024
Mailing address2215 W Rosecrans Ave Ste 22, Compton, CA 90222-3856

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