Kupelian, Patrick A

Kupelian, Patrick A is an individual health care provider with primary practice located at 200 Medical Plz B265, Los Angeles CA 90095-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Kupelian, Patrick A can be contacted via phone (310) 825-0128.

Contact Information

Primary practice address
200 Medical Plz B265 Los Angeles CA 90095-0001
Fax: (407) 425-5203
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X C54049 California

Profile Details

NPI number 1144205881
LBN Legal business name Kupelian, Patrick A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Sep 14th, 2010 - about 14 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 1144205881 NPPES
California MEDICAID 00C540490

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