Healthcare Provider Details

I. General information

NPI: 1255309472
Provider Name (Legal Business Name): ROBERT ALAN KAPLAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 05/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10861 CHERRY ST #305
LOS ALAMITOS CA
90720
US

IV. Provider business mailing address

10861 CHERRY ST #305
LOS ALAMITOS CA
90720
US

V. Phone/Fax

Practice location:
  • Phone: 562-598-4848
  • Fax: 562-598-2029
Mailing address:
  • Phone: 562-598-4848
  • Fax: 562-598-2029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG23572
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: