Individual
DR. GORDON SETH KAPLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(831) 479-6603
(831) 458-6293
Mailing address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(831) 458-5537
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G-60714
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669528758
—
CA
01
—
G60714
ANTHEM BLUE CROSS
CA
Enumeration date
01/25/2007
Last updated
11/19/2014
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