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Organization

KLEYNBERG MEDICAL CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEONID M KLEYNBERG M.D. (CEO / PRESIDENT)
(323) 965-9995
Entity
Organization

Contact information

Practice address
6221 WILSHIRE BLVD, SUITE 504, LOS ANGELES, CA 90048-5201
(323) 965-9995
(323) 965-5678
Mailing address
6221 WILSHIRE BLVD, SUITE 504, LOS ANGELES, CA 90048-5201
(323) 965-9995
(323) 965-5678

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0098250
CA
Enumeration date
08/25/2006
Last updated
11/18/2011
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