Provider Demographics
NPI:1558364968
Name:KLEIN, NEIL ELLIOT (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:ELLIOT
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:12462 PUTNAM ST
Mailing Address - Street 2:STE 501
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-1048
Mailing Address - Country:US
Mailing Address - Phone:562-789-5439
Mailing Address - Fax:562-789-4443
Practice Address - Street 1:12462 PUTNAM ST
Practice Address - Street 2:STE 501
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1048
Practice Address - Country:US
Practice Address - Phone:562-789-5439
Practice Address - Fax:562-789-4443
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2017-01-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG42690208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA49074Medicare UPIN
CAA49074Medicare UPIN