Kleynberg Medical Clinic Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLA329643 Issued in CA

Legal business name

KLEYNBERG MEDICAL CLINIC INC

Practice address

6221 Wilshire Blvd
Suite 540
Los Angeles, CA 90048-5201

Phone

(323) 965-9995

Fax

(323) 965-5678

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Leonid Marcus Kleynberg, M.D.NPI 1891750212

Title

President

Phone

(323) 965-9995

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Kleynberg Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kleynberg Medical Clinic Inc

  • Hematology & Oncology Physician
  • Los Angeles, CA
  • NPI 1568570109
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonid Kleynberg, M.D.

  • Hematology & Oncology Physician
  • Los Angeles, CA
  • NPI 1891750212
  NPD (past) Authorized official

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1497933220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "SUITE 540",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-965-9995",
            "fax_number": "323-965-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "SUITE 540",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-965-9995",
            "fax_number": "323-965-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEYNBERG MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "KLEYNBERG",
        "authorized_official_first_name": "LEONID",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-965-9995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLA329643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB03875F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vera Klesic, TECHNICIAN
• Nancy Kless, LCSW
• Jill Marie Klessig, MD
• Carissa Leigh Klevens-Thomas, PH.D.
• Eleonora Kleyman, MD
• Kleynberg Medical Clinic Inc
• Leonid Kleynberg, M.D.
• Roman Leonid Kleynberg, M.D.
• Vera Kleynberg, M.D.
• Jacob Klickstein

• Clinical Medical Laboratory in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.