Individual
DR. BASIL RAPOPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
468 21ST PLACE, SANTA MONICA, CA 90402
(310) 994-4594
(310) 967-1744
Mailing address
468 21ST PLACE, SANTA MONICA, CA 90402
(310) 994-4594
(310) 899-0408
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A25179
CA
Other
Enumeration date
06/30/2006
Last updated
12/13/2021
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