Provider Demographics
NPI:1386908903
Name:RAPPAPORT, RICHARD GERALD (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:GERALD
Last Name:RAPPAPORT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7401 VIA DE FORTUNA
Mailing Address - Street 2:
Mailing Address - City:LA COSTA
Mailing Address - State:CA
Mailing Address - Zip Code:92009-6936
Mailing Address - Country:US
Mailing Address - Phone:858-457-1300
Mailing Address - Fax:760-929-9367
Practice Address - Street 1:7401 VIA DE FORTUNA
Practice Address - Street 2:
Practice Address - City:LA COSTA
Practice Address - State:CA
Practice Address - Zip Code:92009-6936
Practice Address - Country:US
Practice Address - Phone:858-457-1300
Practice Address - Fax:760-929-9367
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG140112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry