Basic Information
Provider Information
NPI: 1295897700
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KLEIN
FirstName: JOSEPH
MiddleName: ROBERT
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 275 HOSPITAL PKWY STE 470
Address2:  
City: SAN JOSE
State: CA
PostalCode: 951191138
CountryCode: US
TelephoneNumber: 4089723000
FaxNumber: 4089726088
Practice Location
Address1: 275 HOSPITAL PKWY STE 470
Address2:  
City: SAN JOSE
State: CA
PostalCode: 951191138
CountryCode: US
TelephoneNumber: 4089723000
FaxNumber: 4089726088
Other Information
ProviderEnumerationDate: 12/14/2006
LastUpdateDate: 12/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XA116696CAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207LP2900XA116696CAY Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine

No ID Information.


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