Provider Demographics
NPI:1518387414
Name:TAPIAS, RAFAEL ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:ENRIQUE
Last Name:TAPIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 45916
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-0916
Mailing Address - Country:US
Mailing Address - Phone:323-290-5803
Mailing Address - Fax:
Practice Address - Street 1:1720 E 120TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90059-3052
Practice Address - Country:US
Practice Address - Phone:213-266-3187
Practice Address - Fax:213-402-3551
Is Sole Proprietor?:No
Enumeration Date:2014-04-18
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1629212084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry