Kaslow, Jeremy Elliott
Kaslow, Jeremy Elliott is an sole proprietor health care provider with primary practice located at 720 N Tustin Ave Ste 202 , Santa Ana CA 92705-3606. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Kaslow, Jeremy Elliott can be contacted via phone (714) 565-1032.Contact Information
Primary practice address
720 N Tustin Ave Ste 202
Santa Ana CA 92705-3606
Phone: (714) 565-1032
Fax: (714) 565-1035
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology | 207KI0005X | G55911 | California |
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | G55911 | California |
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | G55911 | California |
Profile Details
NPI number | 1144305574 |
---|---|
LBN Legal business name | Kaslow, Jeremy Elliott |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 25th, 2006 |
Last updated | Aug 19th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144305574 | NPPES |
California | Other | G55911 | CALIFORNIA STATE LICENSE |
California | Other | 33-0428376 | CALIFORNIA STATE LICENSE |
California | Other | 82-0877333 | CALIFORNIA STATE LICENSE |
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