Healthcare Provider Details

I. General information

NPI: 1669780748
Provider Name (Legal Business Name): MILTON P KAPLAN MD A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2010
Last Update Date: 09/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18370 BURBANK BLVD SUITE 201
TARZANA CA
91356-2804
US

IV. Provider business mailing address

18370 BURBANK BLVD SUITE 201
TARZANA CA
91356-2804
US

V. Phone/Fax

Practice location:
  • Phone: 818-345-0616
  • Fax: 818-345-1877
Mailing address:
  • Phone: 818-345-0616
  • Fax: 818-345-1877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberG17123
License Number StateCA

VIII. Authorized Official

Name: JANET BURKE
Title or Position: CONSULTANT/BILLER
Credential:
Phone: 661-533-3032