Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation
Organization Active NPI General Acute Care Hospital · Los Angeles, CA
NPI 1114367497 · NPPES record last updated Oct 14, 2015
Key facts
- NPI
- 1114367497
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- MARTIN LUTHER KING, JR. - LOS ANGELES (MLK-LA) HEALTHCARE CORPORATION
- Practice address
- 1680 E 120TH St
Los Angeles, CA 90059-3026 - Phone
- (424) 338-8000
- NPI assigned
- Jul 1, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Elaine Batchlor, M.D., M.P.H.
- Title
- Ceo
- Phone
- (424) 338-8000
Practitioners 83
-
Olcay Aksoy, M.D.
-
Arash Bedayat, M.D.
-
Juma A Bharadia, M.D.
-
Laura Elizabeth Bishop, D.O.
-
Juan Manuel Cabrales, M.D
-
Edward Cardenas, M.D.
-
Richard Casey, MD
-
Shaun E Chandran, M.D.
-
Shing L. Cheng, M.D.
-
Arthur P. Chou, M.D.
-
Michael S. Chung, M.D.
-
Lisa Farah Dabby, M.D.
-
Jenny Qian Dai-Ju, M.D.
-
Rohit Dewan, D.O.
-
Holly Dieu, M.D.
Affiliated clinicians 298
-
Jay Acharya, MD
-
Olcay Aksoy, M.D.
-
Nirav Hasmukh Amin, M.D.
-
Maxine Anderson, M.D.
-
Juan Jose Andino, MD
-
Boris S Arutyunov, M.D.
-
Adam Paul Ash, M.D.
-
Karam Ashouri, MD
-
Michael B Azarkh, MD
-
Avetis Azizyan, M.,D.
-
Lea Azour, MD
-
Simin Bahrami, MD
-
Brian Barnes, NP
-
Arash Bedayat, M.D.
-
Rajesh Anant Bhavsar, M.D.
Medicare Care Compare: Hospital
- Listed as
- Martin Luther King, Jr. Community Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2092607 | Martin Luther King Jr Community Hospital | Accreditation | Jan 19, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Hospital certification: CCN 050779
- Legal name
- MARTIN LUTHER KING, JR. - LOS ANGELES (MLK-LA) HEALTHCARE CORPORATION
- Doing business as
- MARTIN LUTHER KING JR COMMUNITY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jun 30, 2015
- Last certification
- Mar 10, 2023
- Beds
- 131
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jul 27, 2010 in CA
- Enrollment address
- 1680 E 120TH St
Los Angeles, CA 90059-3026 - Hospital subgroups
- General
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Robert Margolis |
Corporate Officer |
Aug 1, 2010 | |
| Corporate Director |
Aug 1, 2010 | ||
| Kedar S Mate |
Corporate Officer |
Feb 16, 2022 | |
| Corporate Director |
Feb 16, 2022 | ||
| Georgina Garcia |
Corporate Officer |
Jan 1, 2013 | |
| Corporate Director |
Jan 1, 2013 | ||
| Manual Abascal |
Corporate Officer |
Aug 1, 2010 | |
| Corporate Director |
Aug 1, 2010 | ||
| Paul King |
Corporate Officer |
Aug 1, 2010 | |
| Corporate Director |
Oct 15, 2012 | ||
| Michael Madden |
Corporate Officer |
Aug 1, 2010 | |
| Corporate Director |
Oct 15, 2012 | ||
| Elaine Batchlor |
Corporate Officer |
Oct 15, 2012 | |
| Corporate Director |
Oct 15, 2012 | ||
| W-2 Managing Employee |
Oct 15, 2012 | ||
| Cynthia Maria Patton |
Corporate Officer |
Oct 10, 2018 | |
| Corporate Director |
Oct 10, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150202000680 | CA | Part a Provider - Hospital | 9436474038 | Practice locations: Los Angeles, CA |
National Provider Directory
Locations
250 N Robertson Blvd
Ste 600
Beverly Hills, CA 90211
Phone (310) 385-3330
2667 E Florence Ave
Ste C
Huntington Pk, CA 90255
Phone (323) 584-5000
3791 Katella Ave
Ste 209
Los Alamitos, CA 90720
Phone (562) 594-0806
100 Medical Plz
Ste 100
Los Angeles, CA 90095
1635 E 120TH St
Los Angeles, CA 90059
5427 Whittier Blvd
Los Angeles, CA 90022
Phone (323) 869-1900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
1680 E 120TH St
Los Angeles, CA 90059-3026
Mailing address
1680 E. 120TH Street
Los Angeles, CA 90059
Phone (424) 338-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114367497 | Medicaid | CA |
Other names
- Martin Luther King, Jr. Community Hospital
Other providers in Los Angeles, CA
- Martin Luther King Jr Community Medical Foundation
- Martin Luther King Jr Community Medical Foundation
- Martin Luther King Jr Community Medical Foundation
- Martin Luther King Jr Community Medical Foundation
- Martin Luther King Jr. Multiservice Ambulatory Care Center
- Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation
- Martin Luther Kingjr-Multi-Service Ambulatory Care Center
- Andrea Leigh Martin Salazar
- Martin V Cohen Psychological Counseling Corp
- Blanca Martin-Acuna
All providers in Los Angeles, CA · General Acute Care Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.