Individual
DR. ANDREW J. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-9765
Mailing address
FILE# 54433, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G86102
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G861020
BLUE SHIELD OF CALIFORNIA
—
05
—
00G861020
—
CA
01
—
390007692
RAILROAD MEDICARE
—
01
—
F686
CHAMPUS
—
Enumeration date
03/28/2006
Last updated
06/25/2009
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