Provider Demographics
NPI:1538226139
Name:RAPP, NORMAN (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:
Last Name:RAPP
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 1:6313 GREENLEAF AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-3536
Mailing Address - Country:US
Mailing Address - Phone:562-698-0945
Mailing Address - Fax:562-696-5867
Practice Address - Street 1:6313 GREENLEAF AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-3536
Practice Address - Country:US
Practice Address - Phone:562-698-0945
Practice Address - Fax:562-696-5867
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG22312207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G22310OtherBLUE SHIELD
CAA41540Medicare UPIN
CAG22312Medicare ID - Type Unspecified