Provider Demographics
NPI:1780845321
Name:ARNOLD S. RAPPOPORT MD INC
Entity Type:Organization
Organization Name:ARNOLD S. RAPPOPORT MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAPPOPORT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-265-3131
Mailing Address - Street 1:5414 HERON BAY
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-4821
Mailing Address - Country:US
Mailing Address - Phone:310-265-3131
Mailing Address - Fax:
Practice Address - Street 1:5414 HERON BAY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-4821
Practice Address - Country:US
Practice Address - Phone:310-265-3131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1245289925OtherNPI