Individual
ROBERT E KLENCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 SANTA MONICA BLVD, SUITE 1090, SANTA MONICA, CA 90404-2102
(310) 582-7475
Mailing address
215 13TH ST, SEAL BEACH, CA 90740-6502
(818) 907-7828
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G60894
CA
Other
Enumeration date
10/13/2006
Last updated
07/13/2007
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