MEDICARE: ROSS S. KAPLAN, M D A PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	A55764	CA

General Provider Information

NPI Number	:	1134263783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSS S. KAPLAN, M D A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	3615 LAS POSAS RD
Second Line	:	SUITE F 100
City	:	CAMARILLO
State	:	CA
Zip	:	93010-1479
Country	:	US
Telephone Number	:	805-484-2813
Fax Number	:	805-484-2316

Provider Business Practice Location Address
First Line	:	3615 LAS POSAS RD
Second Line	:	SUITE F 100
City	:	CAMARILLO
State	:	CA
Zip	:	93010-1479
Country	:	US
Telephone Number	:	805-484-2813
Fax Number	:	805-484-2316

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. ROSS STUART KAPLAN
Credential	:	MD
Telephone Number	:	805-484-2813

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	03/05/2014

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