Individual
DR. CHARLES JEFFREY KAUPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 W LA VETA AVE STE 107, ORANGE, CA 92868-4447
(714) 639-4601
(714) 771-5389
Mailing address
705 W LA VETA AVE STE 107, ORANGE, CA 92868-4447
(714) 639-4601
(714) 771-5389
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G38574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G385740
—
CA
Enumeration date
03/17/2006
Last updated
03/01/2019
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