IndividualActive
Madolor King, RN
NPI 1013533116 · Enterostomal Therapy Registered Nurse · Tustin, CA
Provider details
- NPI number
- 1013533116
- Entity type
- Individual
- Primary specialty
- Enterostomal Therapy Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2005454883 (CA)
Practice location
18002 Irvine Blvd Ste 208
Tustin, CA 92780-3366
Phone: (626) 589-1349
Mailing address
12501 Circula Panorama
Santa Ana, CA 92705-1356
Registry dates
- Enumerated
- 2020-06-24
- Last updated
- 2020-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.