Provider Demographics
NPI:1831221126
Name:KLEIN, DOROTHY CUYSON (MD)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:CUYSON
Last Name:KLEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:CUYSON
Other - Last Name:DICKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7935 WESTLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-1071
Mailing Address - Country:US
Mailing Address - Phone:310-431-9507
Mailing Address - Fax:310-431-9507
Practice Address - Street 1:7935 WESTLAWN AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-1071
Practice Address - Country:US
Practice Address - Phone:310-431-9507
Practice Address - Fax:310-431-9507
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93473208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics