Eric J. Klostermann, D.P.M., A Professional Corporation

LBN: Eric J. Klostermann, D.P.M., A Professional Corporation
Eric J. Klostermann, D.P.M., A Professional Corporation is an health care organization with primary practice located at 4560 Admiralty Way Suite 351, Marina Del Rey CA 90292-5423. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. Eric J. Klostermann, D.P.M., A Professional Corporation can be contacted via phone (310) 792-3914, or through Klostermann, Eric J via phone (310) 792-3914.

Contact Information

Primary practice address
4560 Admiralty Way Suite 351 Marina Del Rey CA 90292-5423
Phone: (310) 792-3914
Fax: (855) 898-4055
Website:
Map and Directions
Authorized official contact:
Name: Klostermann, Eric J Doctor of Podiatric Medicine (DPM)
Phone: (310) 792-3914

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X E1993 California

Profile Details

NPI number 1154518801
LBN Legal business name Eric J. Klostermann, D.P.M., A Professional Corporation
DBA Doing business as
Authorized official Klostermann, Eric J Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2007
Last updated Oct 21st, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154518801 NPPES
California Other 000E19930 BLUE SHIELD
California MEDICAID 000E19931 BLUE SHIELD

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