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Organization
KINGS MEDICAL GROUP PC
Active
Organization
KINGS MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R GAVINI M.D. (PRESIDENT)
(559) 410-8404
Entity
Organization
Contact information
Practice address
808 VAUGHN ST, HANFORD, CA 93230
(559) 410-8404
Mailing address
240 N 12TH AVE, SUITE 109 #303, HANFORD, CA 93230-5995
(559) 410-8404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A77882
CA
Other
Enumeration date
07/09/2014
Last updated
12/05/2016
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