King Prosthetics & Orthotics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

SREA24775023 Issued in CA

Legal business name

KING PROSTHETICS & ORTHOTICS, INC.

Practice address

12849 Chapman Ave
Garden Grove, CA 92840-4100

Phone

(714) 971-7221

Fax

(714) 971-8784

NPI assigned

May 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Allan L King Sr., C.P.

Title

President

Phone

(714) 971-7221

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1184891889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12849 CHAPMAN AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404100",
            "telephone_number": "714-971-7221",
            "fax_number": "714-971-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12849 CHAPMAN AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404100",
            "telephone_number": "714-971-7221",
            "fax_number": "714-971-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING PROSTHETICS & ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-971-7221",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "SREA24775023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELDS OF CALIFORNIA",
            "identifier": "ZZZ83067Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "199429400",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXC000390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yuri Kim, FNP
• Kimanh T Nguyen DDS Inc
• Darlene Kimery
• Constance A. Kinder, M.A.
• Ernesta Talia Lynn Kindred
• Heather Lynne King, MFT
• John David King
• Katherine P King
• Lauren Kinnear
• Nai Kinsbursky, OTR/L

• Prosthetic/Orthotic Supplier in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.