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NPI Code Detail

MEDICARE: DR. JONATHAN HOLLANDER KAPLAN MD

MEDICARE: DR. JONATHAN HOLLANDER KAPLAN MD
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
1208VP0000XPain Medicine Physician177078CA
2207P00000XEmergency Medicine PhysicianA177078CA
3207P00000XEmergency Medicine PhysicianFK8182026PA

General Provider Information

NPI Number : 1821451089
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN HOLLANDER KAPLAN MD
Provider Business Mailing Address
First Line : 5555 GROSSMONT CENTER DR
Second Line :
City : LA MESA
State : CA
Zip : 91942-3019
Country : US
Telephone Number : 619-465-0711
Fax Number :
Provider Business Practice Location Address
First Line : 5555 GROSSMONT CENTER DR
Second Line :
City : LA MESA
State : CA
Zip : 91942-3019
Country : US
Telephone Number : 619-465-0711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2016
Last Update Date : 06/22/2026

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