Provider Demographics
NPI:1508404328
Name:ORANTES KING, MARIA (DACM LAC)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:ORANTES KING
Suffix:
Gender:F
Credentials:DACM LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12805 OSPREY ST
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-8501
Mailing Address - Country:US
Mailing Address - Phone:951-707-8700
Mailing Address - Fax:
Practice Address - Street 1:12805 OSPREY ST
Practice Address - Street 2:
Practice Address - City:EASTVALE
Practice Address - State:CA
Practice Address - Zip Code:92880-8501
Practice Address - Country:US
Practice Address - Phone:951-707-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18758171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist