Healthcare Provider Details

I. General information

NPI: 1881644003
Provider Name (Legal Business Name): VIRGINIA A KLAIR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 02/03/2023
Certification Date: 02/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 E TACHEVAH DR SUITE 101E
PALM SPRINGS CA
92262-5750
US

IV. Provider business mailing address

555 E TACHEVAH DR SUITE 101E
PALM SPRINGS CA
92262-5750
US

V. Phone/Fax

Practice location:
  • Phone: 760-327-1561
  • Fax: 760-327-4313
Mailing address:
  • Phone: 760-327-1561
  • Fax: 760-327-4313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number40251
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number2003-0481
License Number StateNM
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberC129924
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: