Provider Demographics
NPI:1386732246
Name:KLANG, ADAM ROBERT (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:ROBERT
Last Name:KLANG
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 1:7702 MEANY AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-5199
Mailing Address - Country:US
Mailing Address - Phone:661-843-7830
Mailing Address - Fax:661-843-7831
Practice Address - Street 1:7702 MEANY AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-5199
Practice Address - Country:US
Practice Address - Phone:661-843-7830
Practice Address - Fax:661-843-7831
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABK6052093207R00000X
CAA66296208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0092950Medicaid
ZZZ01707ZOtherMEDICARE GROUP ID#
ZZZ01707ZOtherMEDICARE GROUP ID#
CA00A662960Medicare PIN