Organization
RUSSELL A. KLEIN, MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL A KLEIN MD (PRESIDENT)
(818) 788-7500
Entity
Organization
Contact information
Practice address
16101 VENTURA BOULEVARD, SUITE 340, ENCINO, CA 91436
(818) 788-7500
(818) 380-9245
Mailing address
16101 VENTURA BOULEVARD, SUITE 340, ENCINO, CA 91436
(818) 788-7500
(818) 380-9245
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G22898
CA
207RI0200X
Infectious Disease Physician
—
CA
Other
Enumeration date
10/16/2006
Last updated
02/17/2012
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