Healthcare Provider Details

I. General information

NPI: 1003331919
Provider Name (Legal Business Name): BENJAMIN KLEIN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2017
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7551 MADISON AVE
CITRUS HEIGHTS CA
95610-7449
US

IV. Provider business mailing address

1700 NW 49TH ST STE 125
FT LAUDERDALE FL
33309-3750
US

V. Phone/Fax

Practice location:
  • Phone: 916-904-3000
  • Fax: 916-703-7979
Mailing address:
  • Phone: 954-888-3900
  • Fax: 954-888-3938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS15463
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A25070
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number5253
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: