Organization
JASON R. LUPTON, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON R. LUPTON M.D. (PRESIDENT)
(858) 350-5555
Entity
Organization
Contact information
Practice address
12395 EL CAMINO REAL, SUITE 207, SAN DIEGO, CA 92130-3082
(858) 350-5555
(858) 351-5139
Mailing address
12395 EL CAMINO REAL, SUITE 207, SAN DIEGO, CA 92130-3082
(858) 350-5555
(858) 351-5139
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A78814
CA
Other
Enumeration date
04/07/2009
Last updated
11/18/2011
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