Healthcare Provider Details

I. General information

NPI: 1265758262
Provider Name (Legal Business Name): DON F. KING M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2010
Last Update Date: 08/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7937 PAINTER AVE
WHITTIER CA
90602-2414
US

IV. Provider business mailing address

7937 S. PAINTER AVE
WHITTIER CA
90602-2414
US

V. Phone/Fax

Practice location:
  • Phone: 562-698-9587
  • Fax: 562-698-1109
Mailing address:
  • Phone: 562-698-9587
  • Fax: 562-698-1109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberG034207
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberG034207
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberG034207
License Number StateCA

VIII. Authorized Official

Name: VANESSA GARCIA
Title or Position: BILLER
Credential:
Phone: 562-698-9587