Derek Edward King, D.C.
Individual provider Active NPI Chiropractor · Bonsall, CA
NPI 1740375286 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740375286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 21391 (CA)
- Practice address
- 5523 Mission Rd
Ste C
Bonsall, CA 92003 - Phone
- (760) 724-8104
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21391 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tru-Health Enterprises, Inc. | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 21391 | CA | Yes |
Addresses
Primary practice location
5523 Mission Rd
Ste C
Bonsall, CA 92003
Mailing address
P.O.Box 338
Bonsall, CA 92003-0338
Phone (760) 724-8104
Other providers in Bonsall, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.