Provider Demographics
NPI:1811073430
Name:KING, DON F (MD)
Entity type:Individual
Prefix:
First Name:DON
Middle Name:F
Last Name:KING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7937 S. PAINTER AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-2414
Mailing Address - Country:US
Mailing Address - Phone:562-698-9587
Mailing Address - Fax:562-698-1109
Practice Address - Street 1:7937 S. PAINTER AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-2414
Practice Address - Country:US
Practice Address - Phone:562-698-9587
Practice Address - Fax:562-698-1109
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG034207207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2408339Medicaid
CAG34207Medicare ID - Type Unspecified
CA2408339Medicaid