Organization
KING PROSTHETICS & ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN L KING SR. C.P. (PRESIDENT)
(714) 971-7221
Entity
Organization
Contact information
Practice address
12849 CHAPMAN AVE, GARDEN GROVE, CA 92840-4100
(714) 971-7221
(714) 971-8784
Mailing address
12849 CHAPMAN AVE, GARDEN GROVE, CA 92840-4100
(714) 971-7221
(714) 971-8784
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
SREA24775023
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199429400
DEPARTMENT OF LABOR
CA
05
—
GXC000390
—
CA
01
—
ZZZ83067Z
BLUE SHIELDS OF CALIFORNIA
CA
Enumeration date
05/12/2008
Last updated
05/12/2008
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