Jeremy E Kaslow, Md Inc

LBN: Jeremy E Kaslow, Md Inc
Jeremy E Kaslow, Md Inc is an health care organization with primary practice located at 720 N Tustin Ave Suite 206, Santa Ana CA 92705-3606. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Jeremy E Kaslow, Md Inc can be contacted via phone (714) 565-1032, or through Kaslow, Jeremy E via phone (714) 565-1032.

Contact Information

Primary practice address
720 N Tustin Ave Suite 206 Santa Ana CA 92705-3606
Fax: (714) 565-1035
Website:
Authorized official contact:
Name: Kaslow, Jeremy E Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X G55911 California
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X G55911 California
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X G55911 California

Profile Details

NPI number 1437354354
LBN Legal business name Jeremy E Kaslow, Md Inc
DBA Doing business as
Authorized official Kaslow, Jeremy E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437354354 NPPES
California Other G55911 STATE LICENSURE

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