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DOMINIQUE KING NPI 1689064065


NPI Information

NPI: 1689064065
Provider Name: DOMINIQUE KING
Classification: Licensed Psychiatric Technician - 167G00000X
Entity Type: Individual
Address:
2008 GAREY AVE
POMONA, CA
ZIP 91766
Phone: (909) 623-6131
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Dominique King is a licensed psychiatric technician in Pomona, CA. The provider is an individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. Dominique King NPI is 1689064065. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2008 GAREY AVE
POMONA, CA
ZIP 91766
Phone: (909) 623-6131
Fax: (909) 865-9281

The enumeration date for this NPI number is 1/23/2015 and was last updated on 8/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1167G00000XLicensed Psychiatric Technician37062CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.