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Individual

DR. RICHARD DAVID KLOTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18800 MAIN ST, 101, HUNTINGTON BEACH, CA 92648-1707
(714) 847-5900
(714) 842-4590
Mailing address
18800 MAIN ST, 101, HUNTINGTON BEACH, CA 92648-1707
(714) 847-5900
(714) 842-4590

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G17244
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AK9274983
BNDD
CA
Enumeration date
11/28/2006
Last updated
07/08/2008
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