Provider Demographics
NPI:1063090827
Name:KINGS VIEW
Entity type:Organization
Organization Name:KINGS VIEW
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMIN MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-256-7632
Mailing Address - Street 1:7170 N FINANCIAL DR STE 110
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2935
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1300 HILLTOP DR
Practice Address - Street 2:SUITE 200 ROOMS 1,2,3,4,5,6
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-3874
Practice Address - Country:US
Practice Address - Phone:530-618-5630
Practice Address - Fax:530-618-5635
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KINGS VIEW
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-31
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)