Healthcare Provider Details

I. General information

NPI: 1639230345
Provider Name (Legal Business Name): EUGENE ALEX RAPAPORT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD # SB290
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

15910 VENTURA BLVD SUITE 1502
ENCINO CA
91436-2802
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-5841
  • Fax:
Mailing address:
  • Phone: 818-728-9877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA65370
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: