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Contact Information

PETER S. KLEM, OD
3493 TAYLOR RD
LOOMIS, CA95650
 Phone: 916-652-0449
 Fax: 916-660-9156
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for PETER S KLEM OD · (Female)

NPI Number 1366573289
Status Active
Credentials
Entity Individual
Enumeration date 03/09/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 6478T
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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