Healthcare Provider Details

I. General information

NPI: 1598877698
Provider Name (Legal Business Name): LOUIS ARTHUR KLEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 YGNACIO VALLEY RD STE 201
WALNUT CREEK CA
94598-3125
US

IV. Provider business mailing address

1776 YGNACIO VALLEY RD STE 201
WALNUT CREEK CA
94598-3125
US

V. Phone/Fax

Practice location:
  • Phone: 925-937-0995
  • Fax: 925-937-3918
Mailing address:
  • Phone: 925-937-0995
  • Fax: 925-937-9318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number94598-3012
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License NumberG21120
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: