Provider Demographics
NPI:1073719290
Name:RAKOFF, DAVID ASHER (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ASHER
Last Name:RAKOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:24 WESTWIND ST
Mailing Address - Street 2:#C
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-7135
Mailing Address - Country:US
Mailing Address - Phone:310-940-4456
Mailing Address - Fax:310-306-6103
Practice Address - Street 1:1328 22ND ST
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2032
Practice Address - Country:US
Practice Address - Phone:310-423-2056
Practice Address - Fax:310-423-8232
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2012-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA89264207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology