Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | A82793 | CA |
N | 208000000X | Pediatrician | A82793 | CA |
NPI | 1215121132 |
---|---|
Provider Name | Dr. Ophir David Klein |
First Address | San Francisco, CA 94143-2205 |
Second Address | San Francisco, CA 94143-2205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2007 |
Last Update Date | 04/09/2007 |