=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578010591
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIC ALEXANDER KING MSW
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/07/2016
-----------------------------------------------------
Last Update Date | 12/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5121 STOCKDALE HWY
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93309-2656
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-473-1500
-----------------------------------------------------
Fax | 661-868-8052
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5121 STOCKDALE HWY
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93309-2656
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-473-1500
-----------------------------------------------------
Fax | 661-868-8052
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 112615
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------