Individual
MR. JEFFREY ALAN KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30280 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675-1561
(949) 248-7641
(949) 248-7321
Mailing address
30280 RANCHO VIEJOO ROAD, SAN JUAN CAPISTRANO, CA 92675
(949) 248-1632
(949) 248-7321
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G37375
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070004805
RAILROAD MEDICARE
CA
01
—
00G373750
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
10/05/2006
Last updated
09/20/2024
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