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Individual

NEAL A KLINE

Active
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Individual

NEAL A KLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37304
MA
2084P0800X
Psychiatry Physician
G19015
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
FHC70042F
SANTA CRUZ COUNTY - CA - MEDI-CAL GROUP#
CA
01
FHC70044F
SANTA CRUZ COUNTY - CA - MEDI-CAL GROUP#
CA
01
G19015
PROFESSIONAL MEDICAL LICENSE#
CA
01
ZZZ91891Z
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
CA
01
ZZZ91892Z
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
CA
01
ZZZ92069Z
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
CA
Enumeration date
02/26/2007
Last updated
03/07/2023
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