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

Martin Luther King Jr Community Medical Foundation

Organization Family Medicine Physician · NPI 1669344149

Martin Luther King Jr Community Medical Foundation is a Family Medicine Physician in Los Angeles, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1122 W Washington Blvd Ste 305
Los Angeles, CA 90015-3349
Phone: (424) 529-6755
Fax: (424) 338-8984
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1669344149
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMartin Luther King Jr Community Medical Foundation
Authorized official Jeffrey Stout — Coo · (424) 338-8711
NPI enumeratedSeptember 23, 2025
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing address1122 W Washington Blvd Ste 305, Los Angeles, CA 90015-3349

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