Provider Demographics
NPI:1649253048
Name:KING, ALLEN B (MD, FACP, FACE, CDE)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:B
Last Name:KING
Suffix:
Gender:M
Credentials:MD, FACP, FACE, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1260 S MAIN ST
Mailing Address - Street 2:STE 202
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2292
Mailing Address - Country:US
Mailing Address - Phone:831-769-9355
Mailing Address - Fax:831-754-4955
Practice Address - Street 1:1260 S MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2288
Practice Address - Country:US
Practice Address - Phone:831-769-9355
Practice Address - Fax:831-754-4955
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG20399207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G203991Medicare ID - Type Unspecified
CAA40922Medicare UPIN