Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | G53861 | CA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | G53861 | CA |
NPI | 1104984442 |
---|---|
Provider Name | Robert C Klapper |
First Address | West Hollywood, CA 90048-1839 |
Second Address | West Hollywood, CA 90048-1839 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 15/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G538610 | (05) | CA |
ED2743 | (02) |