Doctor Name: | DONALD WAYNE KLUGE |
NPI Number: | 1003942202 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 11306 Mountain View Ave Ste B Loma Linda, CA - 923543832 |
Business Phone Number: | 9094789081 |
Business Fax Number: | 9094789084 |
Mailing Address: | 11306 Mountain View Ave, Ste B LOMA LINDA |
State: | CA |
Postal Code: | 923543832 |
Phone Number: | 9094789081 |
Fax Number: | 9094789084 |
NPI Enumeration Date: | 02/24/2007 |
NPI Last Update Date: | 05/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |