Provider Demographics
NPI:1205004900
Name:KLEIN, ROBERT GERALD (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:GERALD
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 HOLLY RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2154
Mailing Address - Country:US
Mailing Address - Phone:805-682-4751
Mailing Address - Fax:
Practice Address - Street 1:2910 HOLLY RD
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-2154
Practice Address - Country:US
Practice Address - Phone:805-682-4751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2010-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG28862207RR0500X
CAG-28862207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology