Individual
JEROME ROBERT KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 STEIN PLAZA, RM 1-340, LOS ANGELES, CA 90095
(310) 825-3090
Mailing address
225 EMERALD LN, PALM BEACH, FL 33480-3613
(310) 550-7006
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
G43711
CA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
G43711
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G43711
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G437110
MEDICAL PPIN #
CA
01
—
142534
MEDICAL LICENSE
NY
01
—
43979
FL STATE
FL
Enumeration date
08/02/2006
Last updated
07/12/2022
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