Individual
LARRY COOPER KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3520 OAKDALE RD. STE. B, MODESTO, CA 95357-0714
(209) 847-7775
(209) 847-7728
Mailing address
3520 OAKDALE RD STE. B, MODESTO, CA 95357
(209) 847-7775
(209) 847-7728
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA3557
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HA0035570
—
CA
01
—
HA3557
LICENCE #
CA
Enumeration date
02/14/2007
Last updated
08/04/2011
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