Individual
AMELIE LUPORINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA, RD
Contact information
Practice address
34 MARK WEST SPRINGS RD FL 2, SANTA ROSA, CA 95403
(707) 541-7900
(707) 573-5411
Mailing address
2350 W EL CAMINO REAL FL 2, MOUNTAIN VIEW, CA 94040-6203
(707) 541-7900
(707) 573-5411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56379
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56379
STATE MEDICAL LICENSE
CA
Enumeration date
04/18/2011
Last updated
06/01/2023
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