Healthcare Provider Details

I. General information

NPI: 1427196567
Provider Name (Legal Business Name): ALAN H KLEIN, MD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8920 WILSHIRE BLVD SUITE 604
BEVERLY HILLS CA
90211-2007
US

IV. Provider business mailing address

8920 WILSHIRE BLVD SUITE 604
BEVERLY HILLS CA
90211-2007
US

V. Phone/Fax

Practice location:
  • Phone: 310-659-1168
  • Fax: 310-659-0804
Mailing address:
  • Phone: 310-659-1168
  • Fax: 310-659-0804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG031517
License Number StateCA

VIII. Authorized Official

Name: ALAN H KLEIN
Title or Position: OWNER
Credential: MD
Phone: 310-659-1168