# ROBERT E. KLENCK M.D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245439728
- **Authorized official:** ROBERT E KLENCK M.D. (PHYSICAN)
- **Authorized official phone:** (818) 907-7828

## Contact information

- **Practice address:** 2001 SANTA MONICA BLVD, 1090, SANTA MONICA, CA 90404-2102
- **Practice address phone:** (310) 582-7475
- **Mailing address:** 215 13TH ST, SEAL BEACH, CA 90740-6502
- **Mailing address phone:** (818) 907-7828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G60894 | CA | Yes |

## Other

- **Enumeration date:** 07/13/2007
- **Last updated:** 07/13/2007