Organization
F. DAVID RUDNICK, MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANKLIN DAVID RUDNICK M.D. (OWNER)
(310) 393-5433
Entity
Organization
Contact information
Practice address
501 SANTA MONICA BLVD STE 509, SANTA MONICA, CA 90401-2432
(310) 393-5433
Mailing address
501 SANTA MONICA BLVD STE 509, SANTA MONICA, CA 90401-2432
(310) 393-5433
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G34733
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G34733
LICENSE NUMBER (PTAN)
—
Enumeration date
01/13/2012
Last updated
01/13/2012
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