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Organization

JOHN D. KING, M.D.,INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN D. KING M.D. (PRESIDENT)
(818) 708-3333
Entity
Organization

Contact information

Practice address
18411 CLARK ST STE 302, TARZANA, CA 91356-3541
(818) 708-3333
Mailing address
18840 VENTURA BLVD STE 204, TARZANA, CA 91356-6340
(818) 708-3333

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A19146
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
A19146
CA
Enumeration date
05/13/2009
Last updated
11/06/2013
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