| Doctor Name: | MS. KUSUM RUDRAPPA |
| NPI Number: | 1750308235 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | A37070 |
| Business Practice Address: | 421 E Angeleno Ave Ste: 206b Burbank, CA - 915012286 |
| Business Phone Number: | 3109846949 |
| Business Fax Number: | 3109846949 |
| Mailing Address: | 4341 Redwood Ave, MARINA DEL REY |
| State: | CA |
| Postal Code: | 902926427 |
| Phone Number: | 2135771119 |
| Fax Number: | 2135771119 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 11/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A37070 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |