Individual
KEVIN BERNARD RAPEPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8851 CENTER DR, STE 401, LA MESA, CA 91942-3017
(619) 668-1550
(619) 668-1554
Mailing address
8851 CENTER DR, STE 401, LA MESA, CA 91942-3017
(619) 668-1550
(619) 668-1554
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A43603
CA
207RI0011X
Interventional Cardiology Physician
Primary
A43603
CA
207UN0901X
Nuclear Cardiology Physician
A43603
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A436030
BLUE SHIELD
CA
05
—
00A436030
—
CA
01
—
060016040
RR MEDICARE
CA
Enumeration date
07/04/2005
Last updated
04/23/2010
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