National Provider Identifier Database

MADOLOR KING, RN – NPI #1013533116
Enterostomal Therapy


Contact Information

MADOLOR KING, RN
18002 IRVINE BLVD STE 208
TUSTIN, CA92780-3366
Phone: 626-589-1349
Fax:
Website:
Specialty Taxonomy Code
* Enterostomal Therapy 163WE0900X

* Indicates primary specialty

NPI Profile & details for MADOLOR KING

NPI Number 1013533116
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 06/24/2020
Last updated 06/24/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 2005454883
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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