Klein, Jerry Robert

Klein, Jerry Robert is an individual health care provider with primary practice located at 751 S Bascom Ave Juvenile Hall-Pediatrics, San Jose CA 95128-2604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Klein, Jerry Robert can be contacted via phone (408) 299-4841.

Contact Information

Primary practice address
751 S Bascom Ave Juvenile Hall-Pediatrics San Jose CA 95128-2604
Phone: (408) 299-4841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X G34236 California
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X G34236 California

Profile Details

NPI number 1558325456
LBN Legal business name Klein, Jerry Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Sep 12th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558325456 NPPES
California MEDICAID 00G342360

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