GHC OF MLK LLC NPI 1477377349

NPI Information

  • NPI: 1477377349
  • Provider Name: GHC OF MLK LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 12021 WILMINGTON AVE, BLDG 18, POD 5A
    LOS ANGELES, CA
    ZIP 90059
  • Phone: (714) 241-5600

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NPI Details

GHC OF MLK LLC is a mental health (including community mental health center) clinic center in Los Angeles, CA. GHC OF MLK LLC NPI is 1477377349. The provider is registered as an organization entity type.

The provider's business location address is:

12021 WILMINGTON AVE, BLDG 18, POD 5A
LOS ANGELES, CA
ZIP 90059
Phone: (714) 241-5600

The provider's authorized official is Lois Mastrocola .
The authorized official title is Chief Financial Officer and has the following contact phone number (714) 241-5600.

The enumeration date for this NPI number is 11/8/2024 and was last updated on 11/8/2024.

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 License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 11/21/2025

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