Provider Demographics
NPI:1972929339
Name:CAPLAN, BRENT
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:
Last Name:CAPLAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 S VICTORIA AVE
Mailing Address - Street 2:STE 230
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-6179
Mailing Address - Country:US
Mailing Address - Phone:805-556-7200
Mailing Address - Fax:805-556-7201
Practice Address - Street 1:1730 S VICTORIA AVE
Practice Address - Street 2:STE 230
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-6179
Practice Address - Country:US
Practice Address - Phone:805-556-7200
Practice Address - Fax:805-556-7201
Is Sole Proprietor?:No
Enumeration Date:2014-03-10
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32823111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor