Individual
HENRY Y UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
805 VETERANS BLVD, SUITE 125, REDWOOD CITY, CA 94063-1734
(650) 368-3937
(650) 368-0270
Mailing address
805 VETERANS BLVD, SUITE 125, REDWOOD CITY, CA 94063-1734
(650) 368-3937
(650) 368-0270
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G238030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G28030
—
CA
01
—
DC7365
RRM TEARSE GROUP
—
01
—
G23803
LICENSE
CA
01
—
P00207171
RRM PIN
—
01
—
ZZZ09989Z
BLUE SHIELD TEARSE GROUP
CA
Enumeration date
09/20/2006
Last updated
07/09/2007
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