MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION NPI 1356899777

NPI Information

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 1356899777. 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:

2251 W ROSECRANS AVE STE 21
COMPTON, CA
ZIP 90222-860
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 CLIA number assigned to this NPI record is 05D2121986 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2016 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:

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