Russell A. Klein, Md, A Medical Corporation | |
16101 Ventura Boulevard Suite 340 Encino CA 91436 | |
(818) 788-7500 | |
(818) 380-9245 |
Full Name | Russell A. Klein, Md, A Medical Corporation |
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Speciality | Internal Medicine |
Location | 16101 Ventura Boulevard, Encino, California |
Authorized Official Name and Position | Russell A Klein (PRESIDENT) |
Authorized Official Contact | 8187887500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Russell A. Klein, Md, A Medical Corporation 16101 Ventura Boulevard Suite 340 Encino CA 91436 Ph: (818) 788-7500 | Russell A. Klein, Md, A Medical Corporation 16101 Ventura Boulevard Suite 340 Encino CA 91436 Ph: (818) 788-7500 |
NPI Number | 1588744544 |
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Provider Enumeration Date | 10/16/2006 |
Last Update Date | 02/17/2012 |
Medicare PECOS PAC ID | 8022045210 |
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Medicare Enrollment ID | O20050719001213 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588744544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (California) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | G22898 (California) | Primary |
Provider Name | Russell A Klein |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467436568 PECOS PAC ID: 4183886500 Enrollment ID: I20120501000783 |
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