Provider Demographics
NPI:1669780748
Name:MILTON P KAPLAN MD A MEDICAL CORPORATION
Entity type:Organization
Organization Name:MILTON P KAPLAN MD A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT/BILLER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-533-3032
Mailing Address - Street 1:18370 BURBANK BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2804
Mailing Address - Country:US
Mailing Address - Phone:818-345-0616
Mailing Address - Fax:818-345-1877
Practice Address - Street 1:18370 BURBANK BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2804
Practice Address - Country:US
Practice Address - Phone:818-345-0616
Practice Address - Fax:818-345-1877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG17123207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G171230Medicaid
CA00G171230Medicaid