LOREN CARRILLO KING (NPI# 1598025165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598025165 |
| Entity Type | Individual |
| Full Name | LOREN CARRILLO KING |
| Credential | PH.D. |
| Practice Address |
3102 E Highland Ave Patton CA 92369-7813 |
| Mailing Address |
Po Box 90824 San Bernardino CA 92427-1824 |
| Practice Telephone | 9094256417 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
24445 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780734202 | Loren C King | Family Medicine | 111 Laurel Creek Rd Se # A, Calhoun, GA 30701-7000 | 2007-01-10 |
| Street Address |
3102 E HIGHLAND AVE |
| City | PATTON |
| State | CA |
| Zip Code | 92369-7813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174592158 | Gregory Bruce Leong | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369-7813 | 2006-03-14 |
| 1851830053 | Hong Nguyen | Pharmacist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2017-02-21 |
| 1215476627 | Hai Nguyen | Pharmacist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2017-02-17 |
| 1669866042 | Eddie Lee Diaz | Pharmacist | 3102 E Highland Ave, Main Phamacy, Patton, CA 92369-7813 | 2015-03-24 |
| 1043620578 | Jeffrey Walsh | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369 | 2014-05-06 |
| 1386065274 | Shobha George | Social Worker | 3102 E Highland Ave, Patton, CA 92369-7813 | 2013-12-19 |
| 1629416482 | Johnnie Chi | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369-7813 | 2013-06-13 |
| 1144576299 | Chen-ying Wu | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-07-26 |
| 1235401050 | Joy Tuesday Ramas Engracia | Nurse Practitioner | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-02-09 |
| 1932494432 | Jason M. Bailie | Clinical Neuropsychologist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2011-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598095606 | Carolyn Boosalis Foley | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2010-01-12 |
| 1023255478 | Crystal Mueller | Psychologist | 3102 E. Highland Ave., Patton State Hospital, Patton, CA 92369 | 2009-01-07 |
| 1487698304 | Nitin Kulkarni | Psychiatry & Neurology | 3102. E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2006-06-15 |
| 1174562680 | Flavia Jorge | Psychologist | 3102 E.highland Avenue, Patton, CA 92369 | 2006-06-06 |
| 1326090127 | Mendel Jonathan Feldsher | Psychiatry & Neurology | 3102 East Highland Avenue, Patton, CA 92369 | 2006-05-17 |
| 1124070560 | Liana Niculina Tanase | Psychiatry & Neurology | 3102 E. Highland Ave, Medical Staff Office, Patton, CA 92369 | 2006-05-16 |
| 1518919802 | Manuel B Desagun | Psychiatry & Neurology | 3102 East Highway Ave, Patton, CA 92369 | 2006-05-16 |
| 1225080633 | John I Benson | Psychiatry & Neurology | 3102 East Highland Ave, Patton, CA 92369 | 2006-05-16 |
| 1295735298 | Bruce L Karp | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2005-08-01 |
| 1245739655 | Miriam Irvin | Social Worker | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2018-02-12 |
| Find all providers in zip 92369 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598095606 | Carolyn Boosalis Foley | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2010-01-12 |
| 1295735298 | Bruce L Karp | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2005-08-01 |
| 1306383393 | Kasmira J Sobkow | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-01-27 |
| 1619336302 | Melissa Ann Jajko | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2016-02-23 |
| 1598135857 | Adrianne Valda Nelson | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2015-09-30 |
| 1376974113 | Parnian M Toofanian Ross | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2013-12-04 |
| 1194161679 | Piyonik Hartounian | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2013-05-10 |
| 1760750111 | Elba I Campos | Psychologist | 3102 East Highland Avenue, Patton, CA 92369 | 2011-12-13 |
| 1730462664 | Marla D Berry | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2011-09-27 |
| 1720361926 | Jennifer Marie Utley Buensuceso | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2011-09-23 |
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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.