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

Martin Luther King Jr Multiservice Ambulatory Care Center

Organization Clinic Pharmacy · NPI 1629215504

Martin Luther King Jr Multiservice Ambulatory Care Center is a Clinic Pharmacy in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

12021 Wilmington Ave Room# B068
Los Angeles, CA 90059-3019
Phone: (310) 668-3966
Show map & directions

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

Specialties & licences

Clinic Pharmacy (primary) Taxonomy 3336C0002X · Licence PHE 14221 (CA)

Record details

NPI number1629215504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Clark — Ceo · (310) 668-5201
NPI enumeratedJanuary 14, 2009
Last updated in NPPESJanuary 14, 2009
Mailing address12021 Wilmington Ave, Los Angeles, CA 90059-3019

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