Provider Demographics
NPI:1871620492
Name:KLAUSNER, KIMBERLY S (MD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:S
Last Name:KLAUSNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:435 N ROXBURY DRIVE
Mailing Address - Street 2:SUITE 311
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
Mailing Address - Country:US
Mailing Address - Phone:310-657-4586
Mailing Address - Fax:310-657-0986
Practice Address - Street 1:435 N ROXBURY DRIVE
Practice Address - Street 2:SUITE 311
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210
Practice Address - Country:US
Practice Address - Phone:310-657-4586
Practice Address - Fax:310-657-0986
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2010-04-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA54665208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA54665OtherCA MEDICAL BOARD