Individual
DR. GARY BRADFORD KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23861 MCBEAN PKWY, SUITE D6, VALENCIA, CA 91355-2058
(661) 259-7333
(661) 259-6125
Mailing address
23861 MCBEAN PKWY, SUITE D6, VALENCIA, CA 91355-2058
(661) 259-7333
(661) 259-6125
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C031243
CA
207ND0900X
Dermatopathology Physician
C031243
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
C031243
CA
207NP0225X
Pediatric Dermatology Physician
C031243
CA
207NS0135X
Procedural Dermatology Physician
C031243
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
953527990
TAX ID
CA
01
—
C031243
STATE LICENSE
CA
Enumeration date
09/20/2006
Last updated
03/07/2023
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