GEORGE HENRY RUDKIN MD NPI 1508870403

NPI Information

George Henry Rudkin, MD is a plastic and reconstructive surgery surgery in Los Angeles, CA with 34 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. George Henry Rudkin, MD NPI is 1508870403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1990

The provider's business location address is:

200 MEDICAL PLZ
STE 465
LOS ANGELES, CA
ZIP 90095-001
Phone: (310) 825-5510

The NPI 1508870403 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 1/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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