Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PSY9583 | CA |
N | 103T00000X | Psychologist | PSY9583 | CA |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSY9583 | CA |
N | 103TA0700X | Adult Development & Aging Psychologist | PSY9583 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY9583 | CA |
N | 103G00000X | Clinical Psychologist | PSY9583 | CA |
N | 103TC0700X | Clinical Psychologist | PSY9583 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY9583 | CA |
N | 103TE1100X | Exercise & Sports Psychologist | PSY9583 | CA |
N | 103TF0000X | Family Psychologist | PSY9583 | CA |
N | 103TH0004X | Health Psychologist | PSY9583 | CA |
N | 103TH0100X | Health Service | PSY9583 | CA |
N | 103TP2701X | Group Psychotherapist | PSY9583 | CA |
N | 103TR0400X | Rehabilitation Psychologist | PSY9583 | CA |
NPI | 1730191784 |
---|---|
Provider Name | Dr. David A. Rapkin |
First Address | Los Angeles, CA 90077-2443 |
Second Address | Los Angeles, CA 90077-2443 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9583 | (02) | CA |
PSY9583 | PSYCHOLOGY LICENSE NUMBER (01) | CA |