Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A116333 | CA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | A116333 | CA |
NPI | 1467751685 |
---|---|
Provider Name | Dr. Jonathan Robert Manning Kaplan |
First Address | Orange, CA 92856-6905 |
Second Address | Orange, CA 92868-3852 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2011 |
Last Update Date | 24/09/2015 |