MEDICARE: DR. ERNEST N KAPLAN M.D.

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	A21606	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A21606	OTHER	CA	STATE LICENSE

General Provider Information

NPI Number	:	1134283625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERNEST N KAPLAN M.D.

Provider Business Mailing Address
First Line	:	1515 EL CAMINO REAL
Second Line	:	SUITE D
City	:	PALO ALTO
State	:	CA
Zip	:	94306-1052
Country	:	US
Telephone Number	:	650-327-5653
Fax Number	:	650-327-5107

Provider Business Practice Location Address
First Line	:	1515 EL CAMINO REAL
Second Line	:	SUITE D
City	:	PALO ALTO
State	:	CA
Zip	:	94306-1052
Country	:	US
Telephone Number	:	650-327-5653
Fax Number	:	650-327-5107

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	03/07/2023

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