Deanna Marie King, is a
Peer Specialist based in Gardena, California. Deanna Marie King is licensed to practice in NU (license number ) and her current practice location is
1045 W Redondo Beach Blvd Ste 300, Gardena, California. She can be reached at her office (for appointments etc.) via phone at
(323) 241-6730.
NPI number for Deanna Marie King is 1629211396 and her current mailing address is 1045 W Redondo Beach Blvd Ste 300, Gardena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629211396.
Healthcare Provider's Profile
| Full Name | Deanna Marie King |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1045 W Redondo Beach Blvd Ste 300, Gardena, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629211396
- Provider Enumeration Date: 04/10/2009
- Last Update Date: 06/26/2024
Medical Identifiers
Medical identifiers for Deanna Marie King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629211396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 172V00000X | Community Health Worker | (NU) | Secondary |
| 175T00000X | Peer Specialist | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deanna Marie King is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Deanna Marie King,
1045 W Redondo Beach Blvd Ste 300,
Gardena, CA 90247-4175
Ph: (323) 241-6730 | Deanna Marie King,
1045 W Redondo Beach Blvd Ste 300,
Gardena, CA 90247-4175
Ph: (323) 241-6730 |
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