Individual
MS. KUSUM RUDRAPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
421 E ANGELENO AVE, STE: 206B, BURBANK, CA 91501-2286
(310) 984-6949
(310) 984-6949
Mailing address
4341 REDWOOD AVE, MARINA DEL REY, CA 90292-6427
(213) 577-1119
(213) 577-1119
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A37070
CA
Other
Enumeration date
07/17/2006
Last updated
11/05/2012
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