Individual
IRVING KLASKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18425 BURBANK BLVD, SUITE 500, TARZANA, CA 91356-2806
(818) 708-6000
(818) 708-6009
Mailing address
18425 BURBANK BLVD, SUITE 500, TARZANA, CA 91356-6691
(818) 708-6000
(818) 708-6009
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A21160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ70039Z
—
CA
Enumeration date
04/28/2006
Last updated
10/10/2012
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