Individual
LEON I. KUPFERWASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16119 VANOWEN ST, VAN NUYS, CA 91406-4822
(818) 904-6782
(818) 904-5896
Mailing address
16119 VANOWEN ST, VAN NUYS, CA 91406-4822
(818) 904-6782
(818) 904-5896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A83900
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A83900
CA
207RI0011X
Interventional Cardiology Physician
A83900
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A839000
—
CA
Enumeration date
03/30/2007
Last updated
10/05/2022
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