Individual
JAFAR KOUPAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9889 MAGNOLIA AVE STE A, RIVERSIDE, CA 92503-3581
(951) 566-5634
Mailing address
95 WASHINGTON ST, CANTON, MA 02021-4006
(781) 821-2888
(781) 821-8684
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
54177
MA
207NS0135X
Procedural Dermatology Physician
Primary
C51581
CA
Other
Enumeration date
10/25/2006
Last updated
01/12/2023
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