Organization
JEFFREY A KLEIN MD INC
Active
Organization
JEFFREY A KLEIN MD INC
Active
Other names
Jeffrey A Klein MD, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY ALAN KLEIN MD (PRESIDENT OWNER)
(949) 248-1632
Entity
Organization
Contact information
Practice address
30280 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675
(949) 248-1632
(949) 248-7321
Mailing address
30280 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675
(949) 248-1632
(949) 248-7321
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ55999Z
BLUE SHIELD OF CALIFORNIA
—
Enumeration date
10/02/2006
Last updated
07/14/2023
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