What type of organization is Martin Luther Kingjr-Multi-Service Ambulatory Care Center?

Martin Luther Kingjr-Multi-Service Ambulatory Care Center is classified in the NPPES registry as Clinic Pharmacy (Suppliers).

Who is the authorized official for Martin Luther Kingjr-Multi-Service Ambulatory Care Center?

The authorized official listed on Martin Luther Kingjr-Multi-Service Ambulatory Care Center's NPPES record is Carolyn Clark, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

OrganizationActive

Martin Luther Kingjr-Multi-Service Ambulatory Care Center

NPI 1770797805 · Clinic Pharmacy · Los Angeles, CA

Martin Luther Kingjr-Multi-Service Ambulatory Care Center is a Clinic Pharmacy organization in Los Angeles, CA (NPI 1770797805).

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)

Practice location

12021 South Wilmington Ave

Los Angeles, CA 90059

Phone: (310) 668-3972

Fax: (310) 687-2960

Street-level locationGet directions

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Mailing address

12021 South Wilmington Ave

Los Angeles, CA 90059

Specialties & taxonomies

Clinic PharmacyPrimary3336C0002XLicense PHE14222 (CA)
Suppliers

Profile Score

Detailed profile(90/100 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.

Enumerated: 2007-05-09
Last updated: 2009-03-12

Frequently asked questions

What is Martin Luther Kingjr-Multi-Service Ambulatory Care Center's NPI number?: Martin Luther Kingjr-Multi-Service Ambulatory Care Center's National Provider Identifier (NPI) is 1770797805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Martin Luther Kingjr-Multi-Service Ambulatory Care Center?: Martin Luther Kingjr-Multi-Service Ambulatory Care Center is classified in the NPPES registry as Clinic Pharmacy (Suppliers).
Where is Martin Luther Kingjr-Multi-Service Ambulatory Care Center located?: Martin Luther Kingjr-Multi-Service Ambulatory Care Center's practice location on file with NPPES is 12021 South Wilmington Ave, Los Angeles, CA 90059.
What is Martin Luther Kingjr-Multi-Service Ambulatory Care Center's phone number?: The practice phone number listed in the NPPES registry for Martin Luther Kingjr-Multi-Service Ambulatory Care Center is (310) 668-3972.
Who is the authorized official for Martin Luther Kingjr-Multi-Service Ambulatory Care Center?: The authorized official listed on Martin Luther Kingjr-Multi-Service Ambulatory Care Center's NPPES record is Carolyn Clark, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Martin Luther Kingjr-Multi-Service Ambulatory Care Center's NPI active?: Yes — Martin Luther Kingjr-Multi-Service Ambulatory Care Center's NPI (1770797805) is active in the NPPES registry as of the last update on 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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions