King, Coley M

King, Coley M is an individual health care provider with primary practice located at 604 Rosse Ave. , Venice CA 90291. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. King, Coley M can be contacted via phone (310) 392-8630.

Contact Information

Primary practice address
604 Rosse Ave. Venice CA 90291
Phone: (310) 392-8630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A7544 California

Profile Details

NPI number 1215038856
LBN Legal business name King, Coley M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Feb 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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