MEDICARE: DR. IAMEE RENAE KLING PSY.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	103T00000X	Psychologist	PSY32728	CA

General Provider Information

NPI Number	:	1225645096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IAMEE RENAE KLING PSY.D

Provider Business Mailing Address
First Line	:	1133 CAMELBACK STREET PO BOX 11988
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92658-5048
Country	:	US
Telephone Number	:	562-270-4950
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 NEWPORT CENTER DR STE 1
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-7507
Country	:	US
Telephone Number	:	562-270-4950
Fax Number	:

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

Provider Enumeration Date	:	09/25/2020
Last Update Date	:	02/06/2024

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