Martin Luther King Jr Community Medical Foundation
Martin Luther King Jr Community Medical Foundation provides Family Medicine Physician services 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 305Los Angeles, CA 90015-3349
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
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1669344149 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Martin Luther King Jr Community Medical Foundation |
| Authorized official | Jeffrey Stout — Coo · (424) 338-8711 |
| NPI enumerated | September 23, 2025 |
| Last updated in NPPES | September 23, 2025 |
| Certification date | September 23, 2025 |
| Mailing address | 1122 W Washington Blvd Ste 305, Los Angeles, CA 90015-3349 |
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