Provider Demographics
NPI:1881941433
Name:JEFFREY KAPLAN, M.D. PEDIATRIC MEDICINE, INC
Entity type:Organization
Organization Name:JEFFREY KAPLAN, M.D. PEDIATRIC MEDICINE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-354-5200
Mailing Address - Street 1:821 E CHAPEL ST STE 203
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-4619
Mailing Address - Country:US
Mailing Address - Phone:805-354-5200
Mailing Address - Fax:805-354-5782
Practice Address - Street 1:821 E CHAPEL ST STE 203
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-4619
Practice Address - Country:US
Practice Address - Phone:805-354-5200
Practice Address - Fax:805-354-5782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-13
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center