Healthcare Provider Details

I. General information

NPI: 1386732246
Provider Name (Legal Business Name): ADAM ROBERT KLANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 09/01/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7702 MEANY AVE SUITE 101
BAKERSFIELD CA
93308-5199
US

IV. Provider business mailing address

7702 MEANY AVE SUITE 101
BAKERSFIELD CA
93308-5199
US

V. Phone/Fax

Practice location:
  • Phone: 661-843-7830
  • Fax: 661-843-7831
Mailing address:
  • Phone: 661-843-7830
  • Fax: 661-843-7831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberBK6052093
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA66296
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA66296
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: