Individual
DR. CASEY KI NG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9985 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-4081
Mailing address
9985 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-4081
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
240728-1
NY
208800000X
Urology Physician
Primary
A111202
CA
Other
Enumeration date
06/25/2007
Last updated
11/04/2021
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