Provider Demographics
NPI:1881638260
Name:KLAPPER, JOSEPH LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:LEE
Last Name:KLAPPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 SUNSET DR STE 4
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-5613
Mailing Address - Country:US
Mailing Address - Phone:831-636-1571
Mailing Address - Fax:831-636-1706
Practice Address - Street 1:901 SUNSET DR STE 4
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-5613
Practice Address - Country:US
Practice Address - Phone:831-636-1571
Practice Address - Fax:831-636-1706
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG84033207RC0000X
AZ32318207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ860338466OtherTAX-ID
CAZZZ92551ZOtherMEDICARE GROUP
AZZ121081Medicare PIN
CAF56643Medicare UPIN
AZ860338466OtherTAX-ID