Provider Demographics
NPI:1861561276
Name:KLINE, DANIEL CHARLES (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:CHARLES
Last Name:KLINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9 CORPORATE PARK STE 150
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-5172
Mailing Address - Country:US
Mailing Address - Phone:949-653-9500
Mailing Address - Fax:949-653-9513
Practice Address - Street 1:9 CORPORATE PARK STE 150
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-5172
Practice Address - Country:US
Practice Address - Phone:949-653-9500
Practice Address - Fax:949-653-9513
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA97882207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology