Individual
CHEYENNE MORGAN UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2175 PARK PL, EL SEGUNDO, CA 90245-4705
(310) 354-4200
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
58991
CA
Other
Enumeration date
03/08/2021
Last updated
03/05/2026
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