Provider Demographics
NPI:1265451777
Name:KLASHMAN, DAVID JORDAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JORDAN
Last Name:KLASHMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:23441 MADISON ST
Mailing Address - Street 2:SUITE #340
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4725
Mailing Address - Country:US
Mailing Address - Phone:310-373-0340
Mailing Address - Fax:310-373-7142
Practice Address - Street 1:23441 MADISON ST
Practice Address - Street 2:SUITE #340
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4725
Practice Address - Country:US
Practice Address - Phone:310-373-0340
Practice Address - Fax:310-373-7142
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2009-11-24
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Provider Licenses
StateLicense IDTaxonomies
CAG56545207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE80125Medicare UPIN
CAWG56545AMedicare ID - Type UnspecifiedPPIN #