Provider Demographics
NPI:1154116499
Name:RAPPOPORT, ALBERT (CPO)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:RAPPOPORT
Suffix:
Gender:
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3256
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90408-3256
Mailing Address - Country:US
Mailing Address - Phone:310-829-2322
Mailing Address - Fax:310-315-3634
Practice Address - Street 1:2820 SANTA MONICA BLVD
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2410
Practice Address - Country:US
Practice Address - Phone:310-829-2322
Practice Address - Fax:310-315-3634
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-09
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Single Specialty