Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MADOLOR KING, RN
Active Sole ProprietorEnterostomal Therapy Nurse · TUSTIN, CA
Registration Details
- NPI Number
- 1013533116
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2020 (5.8253539105855 yrs)
- Last Updated
- Jun 24, 2020
- License
-
2005454883 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18002 IRVINE BLVD STE 208TUSTIN, CA, 927803366Browse CA providers · Browse ZIP 92780
- Phone
- 6265891349
- Primary Specialty
-
Enterostomal Therapy Nurse
163WE0900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.