Martin Luther King Jr. Multiservice Ambulatory Care Center
NPI 1629215504ActiveOrganization· Pharmacy, Clinic Pharmacy· Los Angeles, CA
Pharmacy, Clinic Pharmacy in Los Angeles, California, registered in NPPES in January 2009. The authorized official on file is Carolyn S. Clark, Ceo.
Overview
| NPI | 1629215504 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 14, 2009 |
| Last updated in NPPES | Jan 14, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Clinic Pharmacy Primary | 3336C0002X | PHE 14221 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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