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Individual

THOMAS SAMUEL KLITZNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10833 LE CONTE AVE, 12-441 MDCC, LOS ANGELES, CA 90095-3075
(310) 206-3952
(310) 206-0209
Mailing address
10833 LE CONTE AVE, 12-441 MDCC, LOS ANGELES, CA 90095-3075
(310) 206-3952
(310) 206-0209

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
G40826
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G408260
CA
05
GR0053510
CA
Enumeration date
08/02/2006
Last updated
10/24/2011
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