Organization
ALLEN B KING A MEDICAL CORPORATION
Active
Other names
Diabetes Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK GOMEZ (ADMINISTRATOR)
(831) 769-9355
Entity
Organization
Contact information
Practice address
1260 S MAIN ST, SUITE 202, SALINAS, CA 93901-2288
(831) 769-9355
(831) 754-4955
Mailing address
1260 S MAIN ST, SUITE 202, SALINAS, CA 93901-2288
(831) 769-9355
(831) 754-4955
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ65061Z
BLUE SHIELD GROUP #
CA
Enumeration date
11/14/2005
Last updated
12/13/2016
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