KLEINMAN & WALLACE PROFESSIONAL DENTAL CORP
NPI 1386727667
Dentist - General Practice in Los Angeles, CA

Active since October 23, 2006
8615 S BROADWAY, LOS ANGELES, CA 90003(323) 752-3116(323) 752-4104 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kleinman & Wallace Professional Dental Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KLEINMAN & WALLACE PROFESSIONAL DENTAL CORP (NPI 1386727667) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since October 2006. The organization lists Alan Nathan Kleinman, President, as its authorized official.

NPPES Registry Identity

NPI1386727667
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKLEINMAN & WALLACE PROFESSIONAL DENTAL CORP
Location Address8615 S BROADWAYLos Angeles, CA 90003
Mailing Address8615 S BroadwayLos Angeles, CA 90003 · (323) 752-3116 · Fax (323) 752-4104
Fax(323) 752-4104
Organization SubpartNo
Authorized OfficialAlan Nathan KleinmanPresident · (323) 752-3116
Enumeration DateOctober 23, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1386727667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

8615 S BROADWAY, Los Angeles, CA 90003

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
8615 S BROADWAY, KLEINMAN & WALLACE PROF DENTAL CORP
LOS ANGELES, CA 90003
Dentist (General Practice)
8615 S BROADWAY, KLEINMAN & WALLACE PROF DENTAL CORP
LOS ANGELES, CA 90003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kleinman & Wallace Professional Dental Corp's NPI number?

The NPI number for Kleinman & Wallace Professional Dental Corp is 1386727667. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Kleinman & Wallace Professional Dental Corp located?

Kleinman & Wallace Professional Dental Corp is located at 8615 S Broadway, Los Angeles, CA 90003. The listed phone number is (323) 752-3116.

What is Kleinman & Wallace Professional Dental Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kleinman & Wallace Professional Dental Corp was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.