Individual
DR. JOHN D UPHOLD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 W BEVERLY BLVD, MONTEBELLO, CA 90640-4308
(323) 726-1222
(818) 587-2493
Mailing address
PO BOX 4419, WOODLAND HILLS, CA 91365-4419
(818) 340-9988
(818) 587-2493
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C36283
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C362830
—
CA
Enumeration date
10/07/2005
Last updated
07/09/2007
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