| Herbert I. Rappaport, M.d. A Professional Corporation | |
|
158 N Anita Ave Los Angeles CA 90049-2720 | |
| (310) 440-0966 | |
| (310) 440-0967 |
| Full Name | Herbert I. Rappaport, M.d. A Professional Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 158 N Anita Ave, Los Angeles, California |
| Authorized Official Name and Position | Herbert Irwin Rappaport (PRESIDENT) |
| Authorized Official Contact | 3104400966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Herbert I. Rappaport, M.d. A Professional Corporation 158 N Anita Ave Los Angeles CA 90049-2720 Ph: (310) 440-0966 | Herbert I. Rappaport, M.d. A Professional Corporation 158 N Anita Ave Los Angeles CA 90049-2720 Ph: (310) 440-0966 |
| NPI Number | 1093076291 |
|---|---|
| Provider Enumeration Date | 06/04/2012 |
| Last Update Date | 06/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093076291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | G10471 (California) | Primary |
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