| Zhanna Rapoport, Md, Inc. | |
|
7677 Center Ave Ste 200 Huntington Beach CA 92647-3074 | |
| (714) 952-0744 | |
| (714) 952-1405 |
| Full Name | Zhanna Rapoport, Md, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7677 Center Ave, Huntington Beach, California |
| Authorized Official Name and Position | Zhanna Rapoport (PRESIDENT) |
| Authorized Official Contact | 9513711067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zhanna Rapoport, Md, Inc. 3443 Kentucky Ln C/o Tova Klein Corona CA 92882-8844 Ph: (951) 371-1067 | Zhanna Rapoport, Md, Inc. 7677 Center Ave Ste 200 Huntington Beach CA 92647-3074 Ph: (714) 952-0744 |
| NPI Number | 1295137602 |
|---|---|
| Provider Enumeration Date | 09/17/2014 |
| Last Update Date | 09/17/2014 |
| Medicare PECOS PAC ID | 7416276399 |
|---|---|
| Medicare Enrollment ID | O20150427000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295137602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G76035 (California) | Primary |
| Provider Name | Zhanna Rapoport |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346267382 PECOS PAC ID: 3173599024 Enrollment ID: I20040902000761 |
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