Organization
ASYA KUPISK MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASYA KUPISK MD (PRESIDENT)
(323) 876-6649
Entity
Organization
Contact information
Practice address
7779 W SUNSET BLVD, LOS ANGELES, CA 90046-3911
(323) 876-6649
(323) 876-1835
Mailing address
11323 DONA LOLA DR, STUDIO CITY, CA 91604
(323) 876-6649
(323) 876-1835
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A35087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A350870
—
CA
01
—
4180916
MEDICAL
CA
Enumeration date
02/12/2008
Last updated
12/10/2008
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