Provider Demographics
NPI:1205834819
Name:KLEIN, WILLIAM P (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:P
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1501 SUPERIOR AVE
Mailing Address - Street 2:#111
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3600
Mailing Address - Country:US
Mailing Address - Phone:949-274-8030
Mailing Address - Fax:949-642-3127
Practice Address - Street 1:1501 SUPERIOR AVE
Practice Address - Street 2:#111
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3600
Practice Address - Country:US
Practice Address - Phone:949-274-8030
Practice Address - Fax:949-642-3127
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2008-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG14712207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G147120Medicaid
CAWG14712DMedicare PIN