Provider Demographics
NPI:1942304381
Name:KLEIN, STEVEN NEIL (DPM)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:NEIL
Last Name:KLEIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 ARCH ST
Mailing Address - Street 2:BLDNG #1
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062
Mailing Address - Country:US
Mailing Address - Phone:650-366-3668
Mailing Address - Fax:650-366-7209
Practice Address - Street 1:139 ARCH ST
Practice Address - Street 2:BLDNG #1
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062
Practice Address - Country:US
Practice Address - Phone:650-366-3668
Practice Address - Fax:650-366-7209
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE2714213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA183248800OtherUS DEPT OF LABOR
CA183248800OtherUS DEPT OF LABOR
CA000E27140Medicare ID - Type Unspecified