Kleinman, Kenneth S

Kleinman, Kenneth S is an individual health care provider with primary practice located at 5525 Etiwanda Ave #305, Tarzana CA 91356-3647. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kleinman, Kenneth S can be contacted via phone (818) 300-0081.

Contact Information

Primary practice address
5525 Etiwanda Ave #305 Tarzana CA 91356-3647
Phone: (818) 300-0081
Fax: (818) 300-0081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G50719 California

Profile Details

NPI number 1689605941
LBN Legal business name Kleinman, Kenneth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 24th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689605941 NPPES
California MEDICAID GR0079020
California MEDICAID 00G507190
California Other 95-4372419

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