Eric J. Klostermann, D.P.M., a Professional Corporation

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

E1993 Issued in CA

Legal business name

ERIC J. KLOSTERMANN, D.P.M., A PROFESSIONAL CORPORATION

Practice address

4560 Admiralty Way
Suite 351
Marina del Rey, CA 90292-5423

Phone

(310) 792-3914

Fax

(855) 898-4055

NPI assigned

Sep 26, 2007

Last updated

Oct 21, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eric J Klostermann, D.P.M.NPI 1104852797

Title

President

Phone

(310) 792-3914

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric J Klostermann, D.P.M.

  • Podiatrist
  • Marina del Rey, CA
  • NPI 1104852797
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1154518801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY",
            "address_2": "SUITE 351",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925423",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J. KLOSTERMANN, D.P.M., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "KLOSTERMANN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-792-3914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CA",
            "license": "E1993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward S. Akkaway, M.D (Edward S. Akkaway, M.D., A Professional Medical Corp.)
• Eleby R. Washington III MD PC
• Misty Eleryan, M.D.
• Elizabeth Gould, Marriage & Family Therapist, Inc.
• Xavier Elizarraraz
• Esse Care Surgery California PC
• Carmely Estrella, PH.D., LCSW
• Brian Keith Estwick, MD
• Etie Moghissi, MD,Inc
• Izunna Vincent Ewudo, DNP, FNP-C, PMHNP-BC

• Podiatric Clinic/Center in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Podiatric Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.