Provider Demographics
NPI:1932571270
Name:RAPA, LAUNA R
Entity type:Individual
Prefix:DR
First Name:LAUNA
Middle Name:R
Last Name:RAPA
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LAUNA
Other - Middle Name:R
Other - Last Name:RAPA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:815 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008
Mailing Address - Country:US
Mailing Address - Phone:408-371-7004
Mailing Address - Fax:408-371-5530
Practice Address - Street 1:815 UNION AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-5504
Practice Address - Country:US
Practice Address - Phone:408-371-7004
Practice Address - Fax:408-371-5530
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 19950111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC 19950OtherBOARD OF CHIROPRACTORS EXMINERS LICENSE #