Individual
MICHAEL LUPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 SO BUENA VISTA ST, 5TH FLOOR NORTH TOWER, BURBANK, CA 91505
(818) 847-3280
(818) 847-3205
Mailing address
PO BOX 5171, WEST HILLS, CA 91305-5171
(818) 847-3200
(818) 847-3205
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G68074
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G68074
LICENSE
CA
Enumeration date
05/03/2006
Last updated
07/02/2010
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