Provider Demographics
NPI:1316197924
Name:MICHAEL R.KLEIN,JR.,M.D.,INC.
Entity Type:Organization
Organization Name:MICHAEL R.KLEIN,JR.,M.D.,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:916-863-7301
Mailing Address - Street 1:6555 COYLE AVE
Mailing Address - Street 2:SUITE 235
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-0302
Mailing Address - Country:US
Mailing Address - Phone:916-863-7301
Mailing Address - Fax:916-863-7206
Practice Address - Street 1:6555 COYLE AVE
Practice Address - Street 2:SUITE 235
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0302
Practice Address - Country:US
Practice Address - Phone:916-863-7301
Practice Address - Fax:916-863-7206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC31935207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC31935OtherCALIFORNIA MEDICAL LICENSE
NV12793OtherNEVADA MEDICAL LICENSE
NV12793OtherNEVADA MEDICAL LICENSE
NV12793OtherNEVADA MEDICAL LICENSE