Provider Demographics
NPI:1083630529
Name:NAPOLITANO, RALPH ANGELO (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:ANGELO
Last Name:NAPOLITANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3020 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-1120
Mailing Address - Country:US
Mailing Address - Phone:213-738-0045
Mailing Address - Fax:
Practice Address - Street 1:3020 WILSHIRE BLVD
Practice Address - Street 2:SUITE 160
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-1120
Practice Address - Country:US
Practice Address - Phone:213-738-0045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG69492207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine