Provider Demographics
NPI:1619901238
Name:APT, RICHARD KURMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:KURMAN
Last Name:APT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 CENTURY PARK E
Mailing Address - Street 2:SUITE 803
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-2011
Mailing Address - Country:US
Mailing Address - Phone:310-277-8383
Mailing Address - Fax:
Practice Address - Street 1:1310 N 19TH ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5044
Practice Address - Country:US
Practice Address - Phone:318-388-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA21991207W00000X
LAMD02900R207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A219911Medicaid
CAW17142Medicare ID - Type UnspecifiedPROVIDER NUMBER
CAA22858Medicare UPIN