Provider Demographics
NPI:1659751121
Name:KLEINFELDER, RAYMOND EDWARD III (DO)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:EDWARD
Last Name:KLEINFELDER
Suffix:III
Gender:M
Credentials:DO
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Mailing Address - Street 1:11645 WILSHIRE BLVD STE 900
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6811
Mailing Address - Country:US
Mailing Address - Phone:424-243-7668
Mailing Address - Fax:213-408-4414
Practice Address - Street 1:3080 BRISTOL ST STE 650
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-7311
Practice Address - Country:US
Practice Address - Phone:949-317-2558
Practice Address - Fax:213-408-4414
Is Sole Proprietor?:No
Enumeration Date:2015-05-31
Last Update Date:2025-01-22
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Provider Licenses
StateLicense IDTaxonomies
IL036151703207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology