MRS. MADOLOR KING (NPI# 1013533116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013533116 |
Entity Type | Individual |
Full Name | MRS. MADOLOR KING |
Credential | RN |
Practice Address |
18002 Irvine Blvd Ste 208 Tustin CA 92780-3366 |
Mailing Address |
12501 Circula Panorama Santa Ana CA 92705-1356 |
Practice Telephone | 6265891349 |
Mailing Telephone | 6265891349 |
Enumeration Date | 2020-06-24 |
Last Update Date | 2020-06-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WE0900X |
Registered Nurse Specialization: Enterostomal Therapy |
2005454883 | CA | Nursing Service Providers |
Street Address |
18002 IRVINE BLVD STE 208 |
City | TUSTIN |
State | CA |
Zip Code | 92780-3366 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952927055 | Athome Healthcare | Registered Nurse | 18002 Irvine Blvd Ste 208, Tustin, CA 92780-3366 | 2020-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
Find all providers in zip 92780 |
Taxonomy Code | 163WE0900X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Enterostomal Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447575980 | Gretchen Lee Pitti | Registered Nurse | 15311 Knollwood Cir, Huntington Beach, CA 92647-2753 | 2010-03-27 |
1376703603 | Thanuttha Tiensawang | Registered Nurse | 21529 Saticoy St, Unit #106, Canoga Park, CA 91304-4958 | 2008-06-10 |
1003957184 | Victor Alterescu | Registered Nurse | 5934 Chabot Crst, Oakland, CA 94618-1932 | 2007-02-09 |
1497843833 | Cynthia Anne Yarberry | Registered Nurse | Long Beach Va Healthcare System, 5901 E. 7th St (07/128), Long Beach, CA 90822 | 2006-10-11 |
1912000209 | Kathleen Ann Gibson | Registered Nurse | 1800 N. California St., Stockton, CA 95213-9008 | 2006-09-06 |
1083114508 | Denise Lam Mah | Registered Nurse | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2018-02-21 |
1497033641 | Debbie Hill | Registered Nurse | 2461 Santa Monica Blvd, #433, Santa Monica, CA 90404-2138 | 2011-07-21 |
1104941269 | Donna Scemons | Registered Nurse | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-03-20 |
1942356332 | Harvey Darnell | Registered Nurse | 280 Hospital Pkwy, Bldg. A, San Jose, CA 95119-1103 | 2007-01-26 |
1144306804 | Barbara Mae Bates-jensen | Registered Nurse | 16111 Plummer St, (11e), Sepulveda, CA 91343-2036 | 2006-10-27 |
Find all providers with the same taxonomy |
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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.