Individual
DR. GARY BRADFORD KLEIN
Active
Individual
DR. GARY BRADFORD KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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