Individual
BETH C KLEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
G46504
CA
2085R0202X
Diagnostic Radiology Physician
G46504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G465040
—
CA
01
—
ZZZ35084Z
BLUE SHIELD
—
Enumeration date
03/14/2007
Last updated
02/04/2025
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