Healthcare Provider Details

I. General information

NPI: 1700841004
Provider Name (Legal Business Name): STEPHEN WESLEY KING MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 SUTTER STREET SUITE 2222 MCPS
SAN FRANCISCO CA
94108
US

IV. Provider business mailing address

17 ALLSTON WAY
SAN FRANCISCO CA
94127
US

V. Phone/Fax

Practice location:
  • Phone: 415-677-9937
  • Fax:
Mailing address:
  • Phone: 415-298-9212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG66265
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: