# RUSSELL A. KLEIN, MD, A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1588744544
- **Authorized official:** DR. RUSSELL A KLEIN MD (PRESIDENT)
- **Authorized official phone:** (818) 788-7500

## Contact information

- **Practice address:** 16101 VENTURA BOULEVARD, SUITE 340, ENCINO, CA 91436
- **Practice address phone:** (818) 788-7500
- **Practice address fax:** (818) 380-9245
- **Mailing address:** 16101 VENTURA BOULEVARD, SUITE 340, ENCINO, CA 91436
- **Mailing address phone:** (818) 788-7500
- **Mailing address fax:** (818) 380-9245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | G22898 | CA | Yes |
| 207RI0200X | Infectious Disease Physician | — | CA | — |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 02/17/2012