MEDICARE: DR. EUGENE ALEX RAPAPORT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	A65370	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	00A653700	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1639230345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUGENE ALEX RAPAPORT M.D.

Provider Business Mailing Address
First Line	:	15910 VENTURA BLVD
Second Line	:	SUITE 1502
City	:	ENCINO
State	:	CA
Zip	:	91436-2802
Country	:	US
Telephone Number	:	818-728-9877
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 BEVERLY BLVD # SB290
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90048-1804
Country	:	US
Telephone Number	:	310-423-5841
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	03/20/2026

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