Provider Demographics
NPI:1407875941
Name:KLEINMAN, LOWELL J
Entity type:Individual
Prefix:DR
First Name:LOWELL
Middle Name:J
Last Name:KLEINMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8695 SPECTRUM CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1489
Mailing Address - Country:US
Mailing Address - Phone:858-798-9083
Mailing Address - Fax:760-705-1533
Practice Address - Street 1:7525 LINDA VISTA RD STE A
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-5344
Practice Address - Country:US
Practice Address - Phone:858-277-2361
Practice Address - Fax:858-569-1981
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA51155207QH0002X
CA00A511550207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A511550OtherSTATE LICENSE
00A511550Medicare ID - Type UnspecifiedMEDICARE NUMBER
00A511550OtherSTATE LICENSE