OrganizationActive
Atlantic Avenue Medical Clinic
NPI 1477550788 · Specialist · Lynwood, CA
Atlantic Avenue Medical Clinic is a Specialist organization in Lynwood, CA (NPI 1477550788).
Provider details
- NPI number
- 1477550788
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Keith Mootoo, MD(323) 562-3414
- License
- A35223 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3737 Martin Luther King Jr Blvd Ste 333
Lynwood, CA 90262-3528
Phone: (323) 562-3414
Fax: (323) 562-3100
Street-level locationGet directions
Mailing address
Po Box 619
Lynwood, CA 90262-0619
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2018-10-16
Frequently asked questions
- What is Atlantic Avenue Medical Clinic's NPI number?
- Atlantic Avenue Medical Clinic's National Provider Identifier (NPI) is 1477550788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Atlantic Avenue Medical Clinic?
- Atlantic Avenue Medical Clinic is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Atlantic Avenue Medical Clinic located?
- Atlantic Avenue Medical Clinic's practice location on file with NPPES is 3737 Martin Luther King Jr Blvd Ste 333, Lynwood, CA 90262-3528.
- What is Atlantic Avenue Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Atlantic Avenue Medical Clinic is (323) 562-3414.
- Who is the authorized official for Atlantic Avenue Medical Clinic?
- The authorized official listed on Atlantic Avenue Medical Clinic's NPPES record is Keith Mootoo, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Atlantic Avenue Medical Clinic's NPI active?
- Yes — Atlantic Avenue Medical Clinic's NPI (1477550788) is active in the NPPES registry as of the last update on 2018-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.