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General NPI Number Information
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NPI Number | 1780874636
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Entity Type | Organization
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Legal Business Name | EDWARD KLEIN, M.D. AMC
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 1141 W REDONDO BEACH BLVD 302
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City | GARDENA
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State | CA
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Zip | 90247-3586
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Country | US
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Telephone | 310-532-8124
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Fax | 310-532-2210
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Provider Business Mailing Address
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Address Line | 1141 W REDONDO BEACH BLVD SUITE 302
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City | GARDENA
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State | CA
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Zip | 90247-3586
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Country | US
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Telephone | 310-532-8124
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Fax | 310-532-2210
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDWARD KLEIN
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Credential | M.D.
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Telephone | 310-532-8124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | G26436
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License Number State | CA
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