Jerry Robert Klein
MD | Pediatric Adolescent Medicine | Male
Jerry Robert Klein, MD is a San Jose, California based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Jerry Robert Klein is
751 S Bascom Ave, Juvenile Hall-pediatrics, San Jose, California - 95128-2604. He can be contacted on phone at
408-299-4841.
Jerry Robert Klein is a sole proprietor of his business.
NPI number (Unique professional ID) for Jerry Robert Klein is
1558325456 which was assigned by NPPES on 17 Apr, 2006 and it was last updated on 12 Sep, 2007.
Jerry Robert Klein license number is
G34236 for Pediatrics Adolescent Medicine (2080A0000X) in California.
Jerry Robert Klein specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Jerry Robert Klein basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Jerry Robert Klein |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Jerry Robert Klein address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 751 S Bascom Ave, Juvenile Hall-pediatrics
San Jose, CA, 95128-2604
United States |
|---|
| Phone Number : | 408-299-4841 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1558325456 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 17 Apr, 2006 |
|---|
| Last Updated On : | 12 Sep, 2007 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerry Robert Klein are as mentioned. Primary taxonomy code for Jerry Robert Klein, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | No | G34236 | CA |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | G34236 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Jerry Robert Klein such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00G342360 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 751 S Bascom Ave
San Jose, CA, 95128-2604
United States |
|---|
Business Location:
Patients can refer following map for directions to
Jerry Robert Klein practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.