| F. David Rudnick, Md, A Medical Corporation | |
|
501 Santa Monica Blvd Ste 509 Santa Monica CA 90401-2432 | |
| (310) 393-5433 | |
| Not Available |
| Full Name | F. David Rudnick, Md, A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 501 Santa Monica Blvd Ste 509, Santa Monica, California |
| Authorized Official Name and Position | Franklin David Rudnick (OWNER) |
| Authorized Official Contact | 3103935433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| F. David Rudnick, Md, A Medical Corporation 501 Santa Monica Blvd Ste 509 Santa Monica CA 90401-2432 Ph: (310) 393-5433 | F. David Rudnick, Md, A Medical Corporation 501 Santa Monica Blvd Ste 509 Santa Monica CA 90401-2432 Ph: (310) 393-5433 |
| NPI Number | 1427329028 |
|---|---|
| Provider Enumeration Date | 01/13/2012 |
| Last Update Date | 01/13/2012 |
| Medicare PECOS PAC ID | 9335316751 |
|---|---|
| Medicare Enrollment ID | O20120125000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427329028 | NPI | - | NPPES |
| G34733 | Other | LICENSE NUMBER (PTAN) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G34733 (California) | Primary |
| Provider Name | Franklin David Rudnick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043351000 PECOS PAC ID: 3870760291 Enrollment ID: I20120125000334 |
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