NPI:
1962811265
Provider Name:
COUNTY OF LOS ANGELES
Doing Business As: MARTIN LUTHER KING, JR. MULTI-SERVICE
Classification:
Clinic/Center - 261QM1300X
Entity Type:
Organization
Specialization: Multi-Specialty
CLIA Number: 05D0545394
Address:
1670 EAST 120 TH STREET ,
MARTIN LUTHER KING JR. PHARMACY
LOS ANGELES, CA
ZIP 90059
Phone:
(424) 338-1930
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COUNTY OF LOS ANGELES is a multi-specialty clinic center in Los Angeles, CA. COUNTY OF LOS ANGELES NPI is 1962811265. The provider is registered as an organization entity type.
The provider Is Doing Business As Martin Luther King, Jr. Multi-service.
The provider's business location address is:
1670 EAST 120 TH STREET ,
MARTIN LUTHER KING JR. PHARMACY
LOS ANGELES, CA
ZIP 90059-019
Phone: (424) 338-1930
The provider's authorized official is Cynthia M Oliver .
The authorized official title is Chief Operating Officer and has the following contact phone number (424) 338-1001.
The CLIA number assigned to this NPI record is 05D0545394 - ancillary testing site in health care center with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 8/12/2014 and was last updated on 1/5/2024.