MEDICARE: DR. JEFFREY FRANKLYN KLEIN MD

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	207Q00000X	Family Medicine Physician	G069349	CA

General Provider Information

NPI Number	:	1972508646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY FRANKLYN KLEIN MD

Provider Business Mailing Address
First Line	:	2060 E AVENIDA DE LOS ARBOLES
Second Line	:	STE D186
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91362-1361
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2060 E AVENIDA DE LOS ARBOLES
Second Line	:	STE D186
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91362-1361
Country	:	US
Telephone Number	:	805-768-1343
Fax Number	:

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	07/08/2007

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