Individual
MR. SEAN MICHAEL KUPIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC, PES
Contact information
Practice address
5401 PASEO RANCHO CASTILLA, LOS ANGELES, CA 90032-1875
(315) 292-0333
Mailing address
5461 NEWCASTLE AVE APT 5, ENCINO, CA 91316-2000
(315) 292-0222
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1054
NC
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120402224
NATABOC
—
Enumeration date
08/09/2006
Last updated
03/05/2026
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