Provider Demographics
NPI:1215165212
Name:FRANK J KING MD INC
Entity type:Organization
Organization Name:FRANK J KING MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-916-8100
Mailing Address - Street 1:26932 OSO PKWY
Mailing Address - Street 2:SUITE 275
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-5815
Mailing Address - Country:US
Mailing Address - Phone:949-916-8100
Mailing Address - Fax:949-916-8555
Practice Address - Street 1:26932 OSO PKWY
Practice Address - Street 2:SUITE 275
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-5815
Practice Address - Country:US
Practice Address - Phone:949-916-8100
Practice Address - Fax:949-916-8555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA800442081P2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA80044BOtherMEDICARE ID TYPE UNSPECIFIED
CABK7452143OtherDEA
CAWA80044BOtherMEDICARE ID TYPE UNSPECIFIED
CA6417730001Medicare NSC
CAH72586Medicare UPIN