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Individual

JEFFREY LEON KUPPERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2428 CASTILLO ST, SUITE D, SANTA BARBARA, CA 93105
(805) 845-1500
(805) 845-0333
Mailing address
PO BOX 50706, SANTA BARBARA, CA 93150-0706
(805) 963-3757
(805) 564-3332

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G34672
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G346720
CA
01
290011938
RAILROAD MEDICARE
CA
Enumeration date
09/09/2005
Last updated
08/14/2018
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