MEDICARE: GEORGE RAPPARD MD INC

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	2085R0204X	Vascular & Interventional Radiology Physician	A63419	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

General Provider Information

NPI Number	:	1164485595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGE RAPPARD MD INC

Provider Business Mailing Address
First Line	:	6200 WILSHIRE BLVD
Second Line	:	SUITE 806
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5801
Country	:	US
Telephone Number	:	323-857-5300
Fax Number	:	323-857-5301

Provider Business Practice Location Address
First Line	:	6200 WILSHIRE BLVD
Second Line	:	SUITE 806
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5801
Country	:	US
Telephone Number	:	323-857-5300
Fax Number	:	323-857-5301

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GEORGE RAPPARD
Credential	:	MD
Telephone Number	:	323-857-5300

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	09/26/2014

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Directions to “GEORGE RAPPARD MD INC ” Practice Location

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