What type of organization is Martin Luther King Jr. Multiservice Ambulatory Care Center?

Martin Luther King Jr. Multiservice Ambulatory Care Center is classified in the NPPES registry as Clinic Pharmacy (Suppliers).

Who is the authorized official for Martin Luther King Jr. Multiservice Ambulatory Care Center?

The authorized official listed on Martin Luther King Jr. Multiservice Ambulatory Care Center's NPPES record is Carolyn Clark, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

OrganizationActive

Martin Luther King Jr. Multiservice Ambulatory Care Center

NPI 1629215504 · Clinic Pharmacy · Los Angeles, CA

Martin Luther King Jr. Multiservice Ambulatory Care Center is a Clinic Pharmacy organization in Los Angeles, CA (NPI 1629215504).

Provider details

NPI number: 1629215504
Entity type: Organization
Primary specialty: Clinic PharmacySuppliers
Organization subpart: No
Authorized official: Carolyn Clark, Ceo(310) 668-5201
License: PHE 14221 (CA)

Practice location

12021 Wilmington Ave

Room# B068

Los Angeles, CA 90059-3019

Phone: (310) 668-3966

Street-level locationGet directions

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Mailing address

12021 Wilmington Ave

Los Angeles, CA 90059-3019

Specialties & taxonomies

Clinic PharmacyPrimary3336C0002XLicense PHE 14221 (CA)
Suppliers

Profile Score

Detailed profile(87/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
17 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.

Enumerated: 2009-01-14
Last updated: 2009-01-14

Frequently asked questions

What is Martin Luther King Jr. Multiservice Ambulatory Care Center's NPI number?: Martin Luther King Jr. Multiservice Ambulatory Care Center's National Provider Identifier (NPI) is 1629215504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Martin Luther King Jr. Multiservice Ambulatory Care Center?: Martin Luther King Jr. Multiservice Ambulatory Care Center is classified in the NPPES registry as Clinic Pharmacy (Suppliers).
Where is Martin Luther King Jr. Multiservice Ambulatory Care Center located?: Martin Luther King Jr. Multiservice Ambulatory Care Center's practice location on file with NPPES is 12021 Wilmington Ave, Los Angeles, CA 90059-3019.
What is Martin Luther King Jr. Multiservice Ambulatory Care Center's phone number?: The practice phone number listed in the NPPES registry for Martin Luther King Jr. Multiservice Ambulatory Care Center is (310) 668-3966.
Who is the authorized official for Martin Luther King Jr. Multiservice Ambulatory Care Center?: The authorized official listed on Martin Luther King Jr. Multiservice Ambulatory Care Center's NPPES record is Carolyn Clark, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Martin Luther King Jr. Multiservice Ambulatory Care Center's NPI active?: Yes — Martin Luther King Jr. Multiservice Ambulatory Care Center's NPI (1629215504) is active in the NPPES registry as of the last update on 2009-01-14.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions