Organization
RAPEPORT MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN B RAPEPORT MD (PRESIDENT)
(858) 864-1400
Entity
Organization
Contact information
Practice address
9850 GENESEE AVE, STE 940B, LA JOLLA, CA 92037-1224
(858) 864-1400
(619) 668-1554
Mailing address
9850 GENESEE AVE, STE 940B, LA JOLLA, CA 92037-1224
(858) 864-1400
(619) 668-1554
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0077800
—
CA
05
—
GR0077801
—
CA
Enumeration date
08/11/2005
Last updated
12/14/2016
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