Provider Demographics
NPI:1538488226
Name:DR. LOUIS A.KLEIN
Entity Type:Organization
Organization Name:DR. LOUIS A.KLEIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-937-0995
Mailing Address - Street 1:112 LA CASA VIA STE 130
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3016
Mailing Address - Country:US
Mailing Address - Phone:925-937-0995
Mailing Address - Fax:925-937-3918
Practice Address - Street 1:112 LA CASA VIA STE 130
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3016
Practice Address - Country:US
Practice Address - Phone:925-937-0995
Practice Address - Fax:925-937-3918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-20
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG21120207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA41187Medicare UPIN