Klostermann, Eric J

Klostermann, Eric J is an individual health care provider with primary practice located at 4560 Admiralty Way Suite 351, Marina Del Rey CA 90292-5426. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Klostermann, Eric J can be contacted via phone (310) 792-3914.

Contact Information

Primary practice address
4560 Admiralty Way Suite 351 Marina Del Rey CA 90292-5426
Phone: (310) 792-3914
Fax: (855) 898-4055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E-1993 California

Profile Details

NPI number 1104852797
LBN Legal business name Klostermann, Eric J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Oct 21st, 2016 - about 8 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 1104852797 NPPES
California MEDICAID 000E19931
California Other 000E19930

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