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Individual

PAILAI KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3131 BERGER AVE STE 200, SAN DIEGO, CA 92123-4203
(858) 244-6800
(858) 244-6809
Mailing address
3131 BERGER AVE STE 200, SAN DIEGO, CA 92123-4203
(858) 244-6800
(619) 668-0049

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
23405
CA
364SA2100X
Acute Care Clinical Nurse Specialist
4021
CA

Other

Enumeration date
08/06/2013
Last updated
10/08/2020
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