| Mark Klebanov Md Corp | |
|
120 La Casa Via Ste 102 Walnut Creek CA 94598-3092 | |
| (925) 296-0344 | |
| (925) 947-5424 |
| Full Name | Mark Klebanov Md Corp |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 120 La Casa Via Ste 102, Walnut Creek, California |
| Authorized Official Name and Position | Mark Klebanov (DOCTOR) |
| Authorized Official Contact | 9252960344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Klebanov Md Corp 120 La Casa Via Ste 102 Walnut Creek CA 94598-3092 Ph: (925) 296-0344 | Mark Klebanov Md Corp 120 La Casa Via Ste 102 Walnut Creek CA 94598-3092 Ph: (925) 296-0344 |
| NPI Number | 1700966686 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700966686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A54480 (California) | Primary |
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