King Medical Corporation

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

G9781 Issued in CA

Legal business name

KING MEDICAL CORPORATION

Practice address

4910 Van Nuys Blvd
Suite 209
Sherman Oaks, CA 91403-1715

Phone

(818) 728-4864

Fax

(818) 728-4848

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Gerald Willson King, M.D.

Title

Corporation Secretary

Phone

(818) 728-4864

Specialties & licenses 1

Addresses

Other names 1

• Not Enough Space Other name

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1558387290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD",
            "address_2": "SUITE 209",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031715",
            "telephone_number": "818-728-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD",
            "address_2": "SUITE 209",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031715",
            "telephone_number": "818-728-4864",
            "fax_number": "818-728-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "WILLSON KING",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "CORPORATION SECRETARY",
        "authorized_official_telephone_number": "818-728-4864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "G9781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Not Enough Space",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lia Kim
• Yonnie Kwak Kim
• Henry Kimmel, PSY.D.
• Kinetix Surgery Center, Inc
• King Care Hospice, Inc.
• Precious King-Cohick
• Heather Lynn King
• Jean Ceba Kirchhevel
• Kirill Kvitko DDS Inc.
• Paris Kirksey

• Allergy & Immunology (Internal Medicine) Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Allergy & Immunology (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.