Klompus, Steven Jerome
Klompus, Steven Jerome is an sole proprietor health care provider with primary practice located at 74990 Country Club Dr Ste 310 , Palm Desert CA 92260-1991. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Klompus, Steven Jerome can be contacted via phone (760) 341-8800.Contact Information
Primary practice address
74990 Country Club Dr Ste 310
Palm Desert CA 92260-1991
Phone: (760) 341-8800
Fax: (760) 775-4818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10007 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 10007 | California |
Profile Details
| NPI number | 1639244288 |
|---|---|
| LBN Legal business name | Klompus, Steven Jerome |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639244288 | NPPES |
| California | Other | 1639244288 | NPI |
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