NPIMap

Organization Active NPI

County of Los Angeles - Auditor Controller

Doing business as Martin Luther King, Jr. Outpatient Center

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1891214904
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COUNTY OF LOS ANGELES - AUDITOR CONTROLLER
Doing business as
Martin Luther King, Jr. Outpatient Center
Practice address
12021 Wilmington Ave Ste 1003
Los Angeles, CA 90059-3019
Phone
(424) 338-1501
NPI assigned
Sep 11, 2017
Last updated
Oct 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frank Albert
Title
Chief, Revenue Services
Phone
(213) 240-8366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

12021 Wilmington Ave Ste 1003
Los Angeles, CA 90059-3019

Mailing address

1670 120TH Street
NSB, Medical Administration
Los Angeles, CA 90059
Phone (424) 338-1501

Other names 1

  • Martin Luther King, Jr. Outpatient Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rancho Los Amigos Liver613 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

12021 Wilmington Ave
Ste 1003
Los Angeles, CA 90059
Phone (424) 338-1501

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1891214904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 120TH STREET",
            "address_2": "NSB, MEDICAL ADMINISTRATION",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90059",
            "telephone_number": "424-338-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 WILMINGTON AVE STE 1003",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593019",
            "telephone_number": "424-338-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOS ANGELES - AUDITOR CONTROLLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CHIEF, REVENUE SERVICES",
        "authorized_official_telephone_number": "213-240-8366"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Luther King, Jr. Outpatient Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.