Applebaum, Jay

Applebaum, Jay is an individual health care provider with primary practice located at 17601 17Th St Ste 110 , Tustin CA 92780-1946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as his primary health care specialty. Applebaum, Jay can be contacted via phone (714) 790-0005.

Contact Information

Primary practice address
17601 17Th St Ste 110 Tustin CA 92780-1946
Phone: (714) 790-0005
Fax: (714) 699-2444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G054219 California

Profile Details

NPI number 1740214618
LBN Legal business name Applebaum, Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Feb 27th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740214618 NPPES
California Other G54219 MEDICAL LICENSE
California MEDICAID 00G542191 MEDICAL LICENSE
California Other 05D0896423 MEDICAL LICENSE

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