Individual
BRIAN F. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11620 WILSHIRE BLVD, STE. 100, LOS ANGELES, CA 90025-1706
(310) 914-7336
(310) 914-7326
Mailing address
PO BOX 5667, ORANGE, CA 92863-5667
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G66685
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G666850
BLUE SHIELD OF CA
—
05
—
00G666850
—
CA
01
—
300128255
RAILROAD MEDICARE
—
Enumeration date
07/24/2006
Last updated
08/15/2008
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