Provider Demographics
NPI:1265462980
Name:KAPLAN, RICHARD T (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:T
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5767 W CENTURY BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:757 WESTWOOD PLZ
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-5349
Practice Address - Country:US
Practice Address - Phone:310-825-9111
Practice Address - Fax:612-294-4903
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD2050612085R0202X
CAG769712085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG76971HMedicare PIN
CATP051AMedicare PIN
CAWG76791IMedicare PIN
CA00G7697111Medicare PIN
CA00G769715Medicare PIN
CAWG76791SMedicare PIN
CA00G7697110Medicare PIN
CA00G769714Medicare PIN
CA00G769718Medicare PIN
CA00G769710OtherBLUE SHIELD
CAG45002Medicare UPIN
CAWG76791OMedicare PIN
CA00G7697112Medicare PIN
CAGR0106039Medicaid
CA00G769710Medicaid
CA00G769716Medicare PIN
CAWG76791NMedicare PIN
CA00G769713Medicare PIN
CAWG76971GMedicare PIN
CAWG76791RMedicare PIN
CA00G769717Medicare PIN
CAWG76791LMedicare PIN
CAWG76971FMedicare PIN
CA00G7697113Medicare PIN
CA00G769719Medicare PIN