Rapoza, Russell Paul

Rapoza, Russell Paul is an sole proprietor health care provider with primary practice located at 9940 Talbert Ave Suite 201, Fountain Valley CA 92708-5153. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rapoza, Russell Paul can be contacted via phone (714) 378-5507.

Contact Information

Primary practice address
9940 Talbert Ave Suite 201 Fountain Valley CA 92708-5153
Phone: (714) 378-5507
Fax: (714) 378-5506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G71959 California

Profile Details

NPI number 1003873605
LBN Legal business name Rapoza, Russell Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Feb 15th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003873605 NPPES
California MEDICAID 00G719590

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