Organization
CAROLYN B KLEBANOFF MD JULIE A OMELVENY MD A PROFESSIONAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN KLEBANOFF M.D. (PRACTICE OWNER)
(510) 848-7977
Entity
Organization
Contact information
Practice address
3000 COLBY ST, SUITE 200, BERKELEY, CA 94705-2058
(510) 848-7977
(510) 848-2831
Mailing address
3000 COLBY ST, SUITE 200, BERKELEY, CA 94705-2083
(510) 848-7977
(510) 848-2831
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G51271
CA
Other
Enumeration date
02/05/2007
Last updated
02/07/2013
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