1285819193 NPI number — STUART H KAPLAN, MD PROFESSIONAL CORPORATION

Table of content: (NPI 1285819193)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285819193 NPI number — STUART H KAPLAN, MD PROFESSIONAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STUART H KAPLAN, MD PROFESSIONAL CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285819193
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/23/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
435 N ROXBURY DR STE 210
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEVERLY HILLS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90210-5004
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-858-7880
Provider Business Mailing Address Fax Number:
310-858-7887

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
435 N ROXBURY DR STE 210
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEVERLY HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90210-5004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-858-7880
Provider Business Practice Location Address Fax Number:
310-858-7887
Provider Enumeration Date:
01/09/2008

Additional Information

Authorized Official

Authorized Official Last Name:
KAPLAN
Authorized Official First Name:
STUART
Authorized Official Middle Name:
HARRIS
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
310-858-7880

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X , with the licence number:  G55704 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207ND0101X , with the licence number: G55704 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: G55704 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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