Organization
KING MEDICAL CORPORATION
Active
Other names
Not Enough Space
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES GERALD WILLSON KING M.D. (CORPORATION SECRETARY)
(818) 728-4864
Entity
Organization
Contact information
Practice address
4910 VAN NUYS BLVD, SUITE 209, SHERMAN OAKS, CA 91403-1715
(818) 728-4864
(818) 728-4848
Mailing address
4910 VAN NUYS BLVD, SUITE 209, SHERMAN OAKS, CA 91403-1715
(818) 728-4864
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
G9781
CA
Other
Enumeration date
07/14/2006
Last updated
01/18/2008
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