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COUNTY OF LOS ANGELES AUDITOR CONTROLLER NPI 1245343052


NPI Information

NPI: 1245343052
Provider Name: COUNTY OF LOS ANGELES AUDITOR CONTROLLER

Doing Business As: MARTIN LUTHER KING JR. OUTPATIENT CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1670 E 120TH ST
LOS ANGELES, CA
ZIP 90059
Phone: (424) 338-1000
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COUNTY OF LOS ANGELES AUDITOR CONTROLLER is a clinic center in Los Angeles, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COUNTY OF LOS ANGELES AUDITOR CONTROLLER NPI is 1245343052. The provider is registered as an organization entity type.
The provider Is Doing Business As Martin Luther King Jr. Outpatient Center.

The provider's business location address is:

1670 E 120TH ST
LOS ANGELES, CA
ZIP 90059-026
Phone: (424) 338-1000

The provider's authorized official is Virginia Perez .
The authorized official title is Chief, Consolidated Business Office and has the following contact phone number (323) 914-7622.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 5/30/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1FHC40578FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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