Provider Demographics
NPI:1104984442
Name:KLAPPER, ROBERT C (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:KLAPPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8737 BEVERLY BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1839
Mailing Address - Country:US
Mailing Address - Phone:310-659-6889
Mailing Address - Fax:310-657-3841
Practice Address - Street 1:8737 BEVERLY BLVD STE 303
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1839
Practice Address - Country:US
Practice Address - Phone:310-659-6889
Practice Address - Fax:310-657-3841
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG53861207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G538610Medicaid
ED2743Medicare UPIN
CA00G538610Medicaid