| Dr Raymond Edward Kleinfelder Iii, DO | |
|
3080 Bristol St Ste 650, Costa Mesa, CA 92626-7311 | |
| (949) 317-2558 | |
| (213) 408-4414 |
| Full Name | Dr Raymond Edward Kleinfelder Iii |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 10 Years |
| Location | 3080 Bristol St Ste 650, Costa Mesa, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659751121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 036151703 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| James Y Wang Md Inc | 7618213406 | 12 |
| Entity Name | Artius Dermatology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245782291 PECOS PAC ID: 6305126780 Enrollment ID: O20161130001172 |
| Entity Name | James Y Wang Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538640669 PECOS PAC ID: 7618213406 Enrollment ID: O20190116000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raymond Edward Kleinfelder Iii, DO 11645 Wilshire Blvd Ste 900, Los Angeles, CA 90025-6811 Ph: (424) 243-7668 | Dr Raymond Edward Kleinfelder Iii, DO 3080 Bristol St Ste 650, Costa Mesa, CA 92626-7311 Ph: (949) 317-2558 |
Ms. Rita K Nijjar, PA-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 275 Victoria St, Suite 1h, Costa Mesa, CA 92627 Phone: 949-646-2311 Fax: 949-646-1064 | |
Dr. Margaret M Shannon, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 275 Victoria St, Suite 1h, Costa Mesa, CA 92627 Phone: 949-646-2311 Fax: 949-646-1064 | |
Dr. Daniel Carl Dwyer, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 275 Victoria St, Suite 2-h, Costa Mesa, CA 92627 Phone: 949-631-1051 Fax: 949-631-1052 |