Individual
GEORGE HENRY RUDKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLZ, STE 465, LOS ANGELES, CA 90095-0001
(310) 825-5510
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 825-5510
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G73237
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G732370
—
CA
Enumeration date
07/28/2006
Last updated
01/24/2012
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