MARK KLEM


Address: 12 Harvest, Irvine, CA 92604-3234
Phone: 9496775029

MARK KLEM (NPI# 1841535465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841535465
Entity Type Individual
Full Name MARK KLEM
Credential PT
Practice Address 12 Harvest
Irvine
CA 92604-3234
Practice Telephone 9496775029
Practice Fax Number 9496548715
Mailing Telephone 9496775029
Mailing Fax Number 9496548715
Enumeration Date 2012-12-07
Last Update Date 2012-12-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251P0200X Physical Therapist
Specialization: Pediatrics
18176 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 12 HARVEST
City IRVINE
State CA
Zip Code 92604-3234

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1003417643 New Skin and Body Aesthetics Inc Internal Medicine 4980 Barranca Parkway, 201, Irvine, CA 92604 2020-11-02
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1265982136 Nora M Balke Nurse Practitioner 4968 Booth Cir Ste 110, Irvine, CA 92604 2016-10-04
1679945612 Cvs Pharmacy Pharmacist 15333 Culver Drive, Suite 300, Irvine, CA 92604 2015-10-29
1184016230 Keri Blasingame Nurse Practitioner 4980 Barranca Parkway Suite 200, Irvine, CA 92604 2015-02-26
1679979827 Oc Women's Health,apc Obstetrics & Gynecology 14252 Culver Drive Suite A 499, Irvine, CA 92604 2014-11-17
1326443920 Peter Sumarsono Professional Dental Corporation Preferred Provider Organization 4605 Barranca Parkway., 200, Irvine, CA 92604 2014-10-27
1164832218 Abdiel Noe Hernandez Driver 14252 Culver Drive Ste A, Irvine, CA 92604 2014-04-29
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Taxonomy Information

Taxonomy Code 2251P0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508284696 Josta Jacobs Physical Therapist 54 Shooting Star, Irvine, CA 92604-3358 2014-04-04
1427218338 United Cerebral Palsy of Orange County Physical Therapist 230 Commerce, Suite 190, Irvine, CA 92602-1324 2008-06-13
1790755064 Sky Pediatric, Inc. Physical Therapist 1929 Main St, #103, Irvine, CA 92614-0509 2006-01-26
1811543895 Kevin Nicholas Peterson Physical Therapist 980 Roosevelt Ste 100, Irvine, CA 92620-3670 2019-08-14
1255872792 Brianna Luckett Physical Therapist 980 Roosevelt Ste 100, Irvine, CA 92620-3670 2017-03-16
1700181419 Vanessa Warrior Physical Therapist 980 Roosevelt, Suite 100, Irvine, CA 92620-3672 2011-01-12
1548577760 Cayley Jane Macdonald Physical Therapist 16269 Laguna Canyon Rd, Irvine, CA 92618-3603 2010-09-09
1902113319 Roxanne Maria Estella Vonrhein Physical Therapist 16269 Laguna Canyon Rd, Irvine, CA 92618-3603 2010-09-07
1083852628 Emily Lynne Frevert Physical Therapist 980 Roosevelt Ste 100, Irvine, CA 92620-3670 2009-02-03
1740325075 Yvette Pigeon Gilmour Physical Therapist 1929 Main St Ste 103, Irvine, CA 92614-6524 2007-02-21
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Competitor

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City IRVINE
Zip Code 92604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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