OrganizationActive
Martin Luther Kingjr-Multi-Service Ambulatory Care Center
NPI 1770797805 · Clinic Pharmacy · Los Angeles, CA
Provider details
- NPI number
- 1770797805
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Carolyn Clark, Administrator(310) 668-5201
- License
- PHE14222 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
12021 South Wilmington Ave
Los Angeles, CA 90059
Phone: (310) 668-3972
Fax: (310) 687-2960
Street-level locationGet directions
Mailing address
12021 South Wilmington Ave
Los Angeles, CA 90059
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2009-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.