Jay Applebaum, M.D.,Inc.

LBN: Jay Applebaum, M.D.,Inc.
Jay Applebaum, M.D.,Inc. is an health care organization with primary practice located at 17601 17Th St Ste 110 , Tustin CA 92780-1949. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Jay Applebaum, M.D.,Inc. can be contacted via phone (714) 790-0005, or through Applebaum, Jay via phone (714) 790-0005.

Contact Information

Primary practice address
17601 17Th St Ste 110 Tustin CA 92780-1949
Fax: (714) 699-2444
Website:
Authorized official contact:
Name: Applebaum, Jay Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G54219 California

Profile Details

NPI number 1871709030
LBN Legal business name Jay Applebaum, M.D.,Inc.
DBA Doing business as
Authorized official Applebaum, Jay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Jul 2nd, 2026 - about 4 months 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 1871709030 NPPES
California MEDICAID 00G542191
California Other 05D0896423
California Other G54219

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