Healthcare Provider Details

I. General information

NPI: 1235400060
Provider Name (Legal Business Name): HARRIS KAPLAN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2012
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5565 GROSSMONT CENTER DR STE 152
LA MESA CA
91942-3075
US

IV. Provider business mailing address

PO BOX 843270
LOS ANGELES CA
90084-3270
US

V. Phone/Fax

Practice location:
  • Phone: 619-440-2202
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO 3736
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE6250
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberP80743
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: