Individual
DR. NICHOLAS A KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 SOUTH HALCYON ROAD, SUITE 106, ARROYO GRANDE, CA 93420-3863
(805) 574-1690
(805) 574-1691
Mailing address
504 PLAZA DR, SANTA MARIA, CA 93454-6917
(805) 739-3474
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G85437
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G854370
BLUE SHIELD PIN#
CA
05
—
00G854370
—
CA
01
—
486640100
DEPT OF LABOR
CA
01
—
7791583
AETNA PIN
CA
01
—
G85437
BLUE CROSS
CA
Enumeration date
11/29/2005
Last updated
04/15/2016
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