Healthcare Provider Details

I. General information

NPI: 1407875941
Provider Name (Legal Business Name): DR. LOWELL J KLEINMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7525 LINDA VISTA RD STE A
SAN DIEGO CA
92111-5344
US

IV. Provider business mailing address

8695 SPECTRUM CENTER BLVD
SAN DIEGO CA
92123-1489
US

V. Phone/Fax

Practice location:
  • Phone: 858-277-2361
  • Fax: 858-569-1981
Mailing address:
  • Phone: 858-798-9083
  • Fax: 760-705-1533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberA51155
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number00A511550
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: