Healthcare Provider Details

I. General information

NPI: 1467632596
Provider Name (Legal Business Name): JAMES D KLINE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2007
Last Update Date: 07/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6010 HIDDEN VALLEY RD STE. 107
CARLSBAD CA
92011-4213
US

IV. Provider business mailing address

6010 HIDDEN VALLEY RD STE. 107
CARLSBAD CA
92011-4213
US

V. Phone/Fax

Practice location:
  • Phone: 442-232-6708
  • Fax: 442-232-6732
Mailing address:
  • Phone: 760-500-4678
  • Fax: 442-232-6732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number30590
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: