Provider Demographics
NPI:1093341307
Name:KINGS MEDICAL CENTER
Entity Type:Organization
Organization Name:KINGS MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:BELANGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:559-907-0201
Mailing Address - Street 1:PO BOX 7030
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93290-7030
Mailing Address - Country:US
Mailing Address - Phone:559-931-9311
Mailing Address - Fax:559-931-9313
Practice Address - Street 1:5135 W. NOBLE AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277
Practice Address - Country:US
Practice Address - Phone:559-931-9311
Practice Address - Fax:559-931-9313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty