Martin Luther Kingjr-Multi-Service Ambulatory Care Center
NPI 1770797805ActiveOrganization· Pharmacy, Clinic Pharmacy· Los Angeles, CA
Pharmacy, Clinic Pharmacy in Los Angeles, California, registered in NPPES in May 2007. The authorized official on file is Carolyn S. Clark, Administrator.
Overview
| NPI | 1770797805 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 9, 2007 |
| Last updated in NPPES | Mar 12, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Clinic Pharmacy Primary | 3336C0002X | PHE14222 | 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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