Provider Demographics
NPI:1043351000
Name:RUDNICK, FRANKLIN DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:DAVID
Last Name:RUDNICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:501 SANTA MONICA BLVD
Mailing Address - Street 2:SUITE 509
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-2431
Mailing Address - Country:US
Mailing Address - Phone:310-393-5433
Mailing Address - Fax:310-587-9221
Practice Address - Street 1:501 SANTA MONICA BLVD
Practice Address - Street 2:SUITE 509
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-2431
Practice Address - Country:US
Practice Address - Phone:310-393-5433
Practice Address - Fax:310-587-9221
Is Sole Proprietor?:No
Enumeration Date:2007-02-10
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG347332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA91624Medicare UPIN