Klein, Russell C

Klein, Russell C is an individual health care provider with primary practice located at 1501 Superior Ave #111, Newport Beach CA 92663-3600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Klein, Russell C can be contacted via phone (949) 274-8030.

Contact Information

Primary practice address
1501 Superior Ave #111 Newport Beach CA 92663-3600
Phone: (949) 274-8030
Fax: (949) 642-3127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G81067 California

Profile Details

NPI number 1760480271
LBN Legal business name Klein, Russell C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jan 28th, 2008 - about 16 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 1760480271 NPPES
California MEDICAID 00G810670

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