MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION NPI 1306496641

NPI Information

NPI: 1306496641
Provider Name: MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION

Doing Business As: MARTIN LUTHER KING JR. COMMUNITY MEDICAL GROUP

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
131 E COMPTON BLVD
COMPTON, CA
ZIP 90220
Phone: (424) 529-6755
Get Directions

MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION is a multi-specialty clinic center in Compton, CA. MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION NPI is 1306496641. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Martin Luther King Jr. Community Medical Group.

The provider's business location address is:

131 E COMPTON BLVD
COMPTON, CA
ZIP 90220-410
Phone: (424) 529-6755
Fax: (424) 338-8984

The provider's authorized official is Kurt Stauder .
The authorized official title is President and has the following contact phone number (424) 529-6755.

The enumeration date for this NPI number is 9/18/2019 and was last updated on 1/24/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	171M00000X	Case Manager/Care Coordinator		No
2	171R00000X	Interpreter		No
3	176B00000X	Midwife		No
4	207Q00000X	Family Medicine		No
5	207R00000X	Internal Medicine		No
6	207RC0000X	Internal Medicine	Cardiovascular Disease	No
7	207RP1001X	Internal Medicine	Pulmonary Disease	No
8	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine	No
9	208000000X	Pediatrics		No
10	2084N0400X	Psychiatry & Neurology	Neurology	No
11	363LF0000X	Nurse Practitioner	Family	No
12	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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

NPI Synchronization or Removal

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