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Physician Compare National (NPI:1669490892)

HEALTHCARE PROVIDER: STEVEN A KING D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1669490892
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0042473399
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120523000597
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name KING
Individual professional last name
Provider First Name STEVEN
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name CLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES
Individual professional's medical school
Graduation Year 1976
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 271 RESERVATION RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 201B
Group Practice or individual's line 2 address
City MARINA
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 939333175
Group Practice or individual's zip code (9 digits when available)
Phone Number 8313841791
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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