Healthcare Provider Details

I. General information

NPI: 1407940216
Provider Name (Legal Business Name): MARIA KRISTIN LAPLANT D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA KRISTIN LAPLANT DO

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/28/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 SANTA MONICA BLVD
SANTA MONICA CA
90404-2303
US

IV. Provider business mailing address

2121 SANTA MONICA BLVD
SANTA MONICA CA
90404-2303
US

V. Phone/Fax

Practice location:
  • Phone: 310-829-8212
  • Fax:
Mailing address:
  • Phone: 310-829-8212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number20A12183
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: