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Organization
HERBERT I. RAPPAPORT, M.D., A PROFESSIONAL CORPORATION
Active
Organization
HERBERT I. RAPPAPORT, M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT I RAPPAPORT M.D. (PRESIDENT)
(310) 657-6131
Entity
Organization
Contact information
Practice address
158 N ANITA AVE, LOS ANGELES, CA 90049-2720
(310) 440-0966
Mailing address
158 N ANITA AVE, LOS ANGELES, CA 90049-2720
(310) 440-0966
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G10471
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G104710
—
CA
01
—
00G104711
BLUE SHIELD
CA
Enumeration date
03/02/2007
Last updated
06/11/2012
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