Dr. Jeremy Elliott Kaslow
Internist - Allergy & Immunology Pediatric Allergist
720 N Tustin Ave Ste 202
Santa Ana
, California 92705-3606
Dr. Jeremy Elliott Kaslow
Internist - Allergy & Immunology Pediatric Allergist
720 N Tustin Ave Ste 202
Santa Ana
, California 92705-3606
(714) 565-1035
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About
Features
Specialties
- Internist - Allergy & Immunology
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Dr. Jeremy Elliott Kaslow
- 720 N Tustin Ave Ste 202
- Santa Ana, CA
- Zip : 92705-3606
- Fax : (714) 565-1035
- Phone : (714) 565-1032
Second Address
- Dr. Jeremy Elliott Kaslow
- 720 N Tustin Ave Ste 202
- Santa Ana, CA
- Zip : 92705-3606
- Fax : (714) 565-1035
- Phone : (714) 565-1032
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | G55911 | CA |
| N | 2080P0201X | Pediatric Allergist | G55911 | CA |
National Provider Identifier
| NPI | 1144305574 |
|---|---|
| Provider Name | Dr. Jeremy Elliott Kaslow |
| First Address | Santa Ana, CA 92705-3606 |
| Second Address | Santa Ana, CA 92705-3606 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 19/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 33-0428376 | FEIN (01) | CA |
| 82-0877333 | FEIN (01) | CA |
| G55911 | CALIFORNIA STATE LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.