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Larry King

NPI 1134261050 · on the registry since 2007 · sole proprietor

Practice

Address
3520 Oakdale Rd. Ste. B
Modesto, CA 95357
Phone
(209) 847-7775
Fax
(209) 847-7728

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-08-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California