| Organization Name: | ERIC J. KLOSTERMANN, D.P.M., A PROFESSIONAL CORPORATION |
| NPI Number: | 1154518801 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC J KLOSTERMANN (PRESIDENT) |
| Mailing Address: | 4560 Admiralty Way Suite 351 Marina Del Rey |
| State: | CA US |
| Postal Code: | 902925423 |
| Phone Number: | 3108223572 |
| Fax Number: | 3108220312 |
| NPI Enumeration Date: | 09/26/2007 |
| NPI Last Update Date: | 11/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | E1993 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |