MEDICARE: ARNOLD WILLIAM KLEIN, MD, A MEDICAL CORPORATION

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	207ND0101X	MOHS-Micrographic Surgery Physician	A24719	CA
2	207NP0225X	Pediatric Dermatology Physician	A24719	CA
3	207NS0135X	Procedural Dermatology Physician	A24719	CA
4	207N00000X	Dermatology Physician	A24719	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A24719	OTHER	CA	CALIFORNIA STATE LICENSE

General Provider Information

NPI Number	:	1508875097
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARNOLD WILLIAM KLEIN, MD, A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	435 N ROXBURY DR
Second Line	:	SUITE 204
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-5027
Country	:	US
Telephone Number	:	310-275-5136
Fax Number	:	310-275-2154

Provider Business Practice Location Address
First Line	:	435 N ROXBURY DR
Second Line	:	SUITE 204
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-5027
Country	:	US
Telephone Number	:	310-275-5136
Fax Number	:	310-275-2154

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARNOLD WILLIAM KLEIN
Credential	:	M.D.
Telephone Number	:	310-275-5136

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	05/16/2011

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