MEDICARE: DR. ROBERT KLEIMAN D.P.M.

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	213E00000X	Podiatrist	E1696	CA

General Provider Information

NPI Number	:	1639132640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT KLEIMAN D.P.M.

Provider Business Mailing Address
First Line	:	120 W COLE BLVD
Second Line	:	SUITE B
City	:	CALEXICO
State	:	CA
Zip	:	92231-6167
Country	:	US
Telephone Number	:	760-890-0190
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 W COLE BLVD STE B
Second Line	:
City	:	CALEXICO
State	:	CA
Zip	:	92231-9700
Country	:	US
Telephone Number	:	760-890-0190
Fax Number	:

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

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	09/08/2023

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