Organization
JAY APPLEBAUM, M.D.,INC.
Active
Organization
JAY APPLEBAUM, M.D.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY APPLEBAUM M.D. (PRESIDENT)
(714) 790-0005
Entity
Organization
Contact information
Practice address
17601 17TH ST STE 110, TUSTIN, CA 92780-1949
(714) 790-0005
(714) 699-2444
Mailing address
17601 17TH ST STE 110, TUSTIN, CA 92780-1949
(714) 790-0005
(714) 699-2444
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G54219
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G542191
—
CA
01
—
05D0896423
CLIA
CA
01
—
G54219
MEDICAL LICENSE
CA
Enumeration date
05/15/2007
Last updated
07/02/2026
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