Individual
IVAN KLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SANTA BARBARA COTTAGE HOSPITAL, PATHOLOGY, PUEBLO AT BATH ST, SANTA BARBARA, CA 93105
(805) 569-7375
Mailing address
4031 BON HOMME RD, CALABASAS, CA 91302-5703
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
A78548
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A785480
MEDICAL
CA
Enumeration date
06/09/2006
Last updated
07/08/2007
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