Organization
KING MEDICAL CORPORATION
Active
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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