Provider Demographics
NPI:1730755091
Name:KLEINMAN, ANNETTE E (MD)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:E
Last Name:KLEINMAN
Suffix:
Gender:F
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:PO BOX 9602
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91346-9602
Mailing Address - Country:US
Mailing Address - Phone:213-394-7921
Mailing Address - Fax:
Practice Address - Street 1:18133 VENTURA BLVD STE 204
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-3641
Practice Address - Country:US
Practice Address - Phone:818-466-7700
Practice Address - Fax:818-938-5552
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA191745207V00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program