Individual provider · Type 1 NPI
George Henry Rudkin, MD
Plastic and Reconstructive Surgery Physician · Los Angeles, CA
NPI number
1508870403
Active
Practice location
200 Medical Plz, Ste 465
Los Angeles, CA 90095-0001
Mailing address
5767 W Century Blvd, Suite 200
Los Angeles, CA 90045-5632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | G73237 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1508870403
George Henry Rudkin, MD's National Provider Identifier is 1508870403, issued on Jul 28, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 24, 2012.