MEDICARE: SAMUEL JACOB KLEMPNER M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	232414	MA
2	207RH0003X	Hematology & Oncology Physician	A125171	CA

General Provider Information

NPI Number	:	1134329378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL JACOB KLEMPNER M.D

Provider Business Mailing Address
First Line	:	6424 COLGATE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-4409
Country	:	US
Telephone Number	:	508-954-6022
Fax Number	:

Provider Business Practice Location Address
First Line	:	11800 WILSHIRE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-6602
Country	:	US
Telephone Number	:	310-231-2167
Fax Number	:	310-231-2172

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	02/10/2019

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