KING MEDICAL CORPORATION (NPI# 1558387290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558387290 |
| Entity Type | Organization |
| Organization Name | KING MEDICAL CORPORATION |
| Other Organization Name | NOT ENOUGH SPACE |
| Practice Address |
4910 Van Nuys Blvd Suite 209 Sherman Oaks CA 91403-1715 |
| Practice Telephone | 8187284864 |
| Practice Fax Number | 8187284848 |
| Mailing Telephone | 8187284864 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-01-18 |
| Authorized Official Name | DR. CHARLES GERALD WILLSON KING (CORPORATION SECRETARY) |
| Authorized Official Telephone | 8187284864 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
G9781 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Not Enough Space | Other Name - Individual/Organization |
| Street Address |
4910 VAN NUYS BLVD SUITE 209 |
| City | SHERMAN OAKS |
| State | CA |
| Zip Code | 91403-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447246798 | David Scharf Md Inc | Psychiatry & Neurology | 4910 Van Nuys Blvd, Ste 302, Sherman Oaks, CA 91403-1715 | 2005-09-22 |
| 1104299833 | Husam Elias Md Dmd Inc | Clinic/Center | 4910 Van Nuys Blvd, Suite 102, Sherman Oaks, CA 91403-1715 | 2015-11-03 |
| 1629451919 | Narbeh Bandary | Dentist | 4910 Van Nuys Blvd, Suite 100, Sherman Oaks, CA 91403-1715 | 2015-07-04 |
| 1669851432 | My Choice Counseling Services | Community/Behavioral Health | 4910 Van Nuys Blvd, Suite 301, Sherman Oaks, CA 91403-1715 | 2015-05-26 |
| 1962895250 | Crestwood, Inc. | Urology | 4910 Van Nuys Blvd, Suite #308, Sherman Oaks, CA 91403-1715 | 2015-03-10 |
| 1497177380 | Jaelline Jaffe | Counselor | 4910 Van Nuys Blvd, Suite 301, Sherman Oaks, CA 91403-1715 | 2014-01-10 |
| 1538404934 | Carole Jean Horowitz | Physician Assistant | 4910 Van Nuys Blvd, Suite 303, Sherman Oaks, CA 91403-1715 | 2012-12-11 |
| 1033498779 | Maximum Care Medical Center, Inc. | Clinic/Center | 4910 Van Nuys Blvd, Suite 306, Sherman Oaks, CA 91403-1715 | 2011-08-11 |
| 1598079436 | Joshua Levy M.d. A Professional Corp | Internal Medicine | 4910 Van Nuys Blvd, Suite#303, Sherman Oaks, CA 91403-1715 | 2010-08-03 |
| 1891949699 | Sylvia Glad | Massage Therapist | 4910 Van Nuys Blvd, Suite 301, Sherman Oaks, CA 91403-1715 | 2008-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1053870741 | Quality Life Experience | Assistant Behavior Analyst | 4723 1/4 Vista Del Monte, Sherman Oaks, CA 91403 | 2019-03-13 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1063941466 | Nancy Green Satenberg | Counselor | 4419 Van Nuys Blvd Ste. 301, Sherman Oaks, CA 91403 | 2017-06-08 |
| 1710414875 | Jeffery Edward Havig | Registered Nurse | 1536 Mission St, San Francisco, CA 91403 | 2017-05-18 |
| 1700310885 | Judy Koutal | Behavioral Analyst | 15720 Sutton St, Apt 201, Sherman Oaks, CA 91403 | 2017-04-17 |
| 1043742133 | Christa Maria Eskelin | Marriage & Family Therapist | 4419 Van Nuys Blvd, Suite 400, Sherman Oaks, CA 91403 | 2017-03-29 |
| 1760841431 | Dent All By Dr. Z | Dentist | 15301 Ventura Blvd. Ste U-5, Sherman Oaks, CA 91403 | 2016-02-23 |
| 1821456286 | Liana Kogan | Speech-Language Pathologist | 14569 Benefit Street, #312, Sherman Oaks, CA 91403 | 2016-02-01 |
| Find all providers in zip 91403 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881082683 | Ricardo Antonio Tan Md Inc. | Internal Medicine | 5219 Cedros Ave, Sherman Oaks, CA 91411-4016 | 2014-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309341 | Kianoush Shakib Md Inc | Internal Medicine | 11661 San Vicente Blvd Ste 101, Los Angeles, CA 90049-5150 | 2019-01-10 |
| 1629510235 | Lawrence Awai | Internal Medicine | 4776 Stetson Rd, Clovis, CA 93619-9555 | 2016-11-14 |
| 1619363314 | Aminaa Siddiqi | Internal Medicine | 2440 W Covell Blvd Ste 104, Davis, CA 95616-5671 | 2015-04-09 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| 1609202274 | George Richard Barr | Internal Medicine | 225 Crossroads Blvd # 381, Carmel, CA 93923-8674 | 2013-09-16 |
| 1184069692 | Tyler Basen | Internal Medicine | 26691 Plaza Ste 170, Mission Viejo, CA 92691-6396 | 2013-05-10 |
| 1528403797 | Warner C. Greene | Internal Medicine | 1650 Owens St, San Francisco, CA 94158-2261 | 2013-05-01 |
| 1407153000 | Howard Eric Strom | Internal Medicine | 3411 La Falda Pl, Los Angeles, CA 90068-1509 | 2011-02-16 |
| 1598893794 | Rakesh Jindal M.d. Inc | Internal Medicine | 462 W Putnam Ave, Porterville, CA 93257-3321 | 2007-03-01 |
| 1588792048 | Michael T Mosher M.d A Medical Corporation | Internal Medicine | 415 Rolling Oaks Dr Ste 280, Thousand Oaks, CA 91361-1049 | 2007-02-28 |
| Find all providers with the same taxonomy | ||||
| City | SHERMAN OAKS |
| Zip Code | 91403 |
Please comment or provide details below to improve the information on KING MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.