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

Ken Dekitani

Individual provider Internal Medicine Physician · NPI 1003376716

Ken Dekitani is an Internal Medicine in Los Angeles, California. Qualified in 2019, 7 years ago. Practices with Martin Luther King Jr Community Medical Foundation, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

757 Westwood Plz
Los Angeles, CA 90095-8358
Phone: (310) 267-7849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3543 Sidney St, Saint Louis, MO 63104-1731 — (310) 400-9249

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A176980 (CA)

Record details

NPI number1003376716
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPULMONARY DISEASE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Martin Luther King Jr Community Medical Foundation — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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