Provider Demographics
NPI:1225126998
Name:KLEIN, JAMES C (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2100 WEBSTER ST 202
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2375
Mailing Address - Country:US
Mailing Address - Phone:415-923-3135
Mailing Address - Fax:415-771-2897
Practice Address - Street 1:2100 WEBSTER ST STE 202
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2375
Practice Address - Country:US
Practice Address - Phone:415-923-3135
Practice Address - Fax:415-771-2897
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA22960207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA756021580OtherMEDICARE RAILROAD
CA756021580OtherMEDICARE RAILROAD
CA00A229600Medicare PIN