| William King Md Pc | |
|
3756 Santa Rosalia Drive Suite 506 Los Angeles CA 90008-3656 | |
| (323) 617-5409 | |
| (323) 375-1539 |
| Full Name | William King Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3756 Santa Rosalia Drive, Los Angeles, California |
| Authorized Official Name and Position | William Douglas King (CEO/PHYSICIAN) |
| Authorized Official Contact | 3236175409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William King Md Pc 3756 Santa Rosalia Drive Suite 506 Los Angeles CA 90008 Ph: (323) 617-5409 | William King Md Pc 3756 Santa Rosalia Drive Suite 506 Los Angeles CA 90008-3656 Ph: (323) 617-5409 |
| NPI Number | 1538474960 |
|---|---|
| Provider Enumeration Date | 08/10/2010 |
| Last Update Date | 05/10/2011 |
| Medicare PECOS PAC ID | 4789868902 |
|---|---|
| Medicare Enrollment ID | O20110413000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538474960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A71878 (California) | Primary |
| Provider Name | William King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427079250 PECOS PAC ID: 0840346110 Enrollment ID: I20100611000477 |
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