Individual
MRS. MARIA ANGELA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, RN
Contact information
Practice address
1881 BUSINESS CENTER DR STE 8A, SAN BERNARDINO, CA 92408-3448
(714) 470-1506
Mailing address
6240 BLACK PEARL CT, MIRA LOMA, CA 91752-4405
(714) 470-1506
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
615636
CA
163WM0102X
Maternal Newborn Registered Nurse
1593
CA
163WN0003X
Low-Risk Neonatal Registered Nurse
1593
CA
163WP1700X
Perinatal Registered Nurse
1593
CA
163WW0101X
Ambulatory Women's Health Care Registered Nurse
1593
CA
174H00000X
Health Educator
—
—
2085U0001X
Diagnostic Ultrasound Physician
615636
CA
367A00000X
Advanced Practice Midwife
Primary
1593
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12646542
CAQH PROVIDER ID
CA
Enumeration date
05/15/2007
Last updated
08/16/2019
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