MEDICARE: DR. NORMAN RAPP 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	207R00000X	Internal Medicine Physician	G22312	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00G22310	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1538226139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN RAPP M.D.

Provider Business Mailing Address
First Line	:	6313 GREENLEAF AVE
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90601-3536
Country	:	US
Telephone Number	:	562-698-0945
Fax Number	:	562-696-5867

Provider Business Practice Location Address
First Line	:	6313 GREENLEAF AVE
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90601-3536
Country	:	US
Telephone Number	:	562-698-0945
Fax Number	:	562-696-5867

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	07/08/2007

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