Provider Demographics
NPI:1841556081
Name:RAYMON T. KAPLAN M.D., INC.
Entity type:Organization
Organization Name:RAYMON T. KAPLAN M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAYMON
Authorized Official - Middle Name:T
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-823-2550
Mailing Address - Street 1:4676 ADMIRALTY WAY
Mailing Address - Street 2:SUITE 505
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-6606
Mailing Address - Country:US
Mailing Address - Phone:310-823-2550
Mailing Address - Fax:310-821-5235
Practice Address - Street 1:4676 ADMIRALTY WAY
Practice Address - Street 2:SUITE 505
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-6601
Practice Address - Country:US
Practice Address - Phone:310-823-2550
Practice Address - Fax:310-821-5235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA198162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty