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Organization

DAVID KUPPERMANN MD INC

Active
Parent organization
DAVID KUPPERMANN MD INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
DAVID KUPPERMANN MD INC
Authorized official
DR. DAVID KUPPERMANN MD (OWNER)
(347) 327-3399
Entity
Organization

Contact information

Practice address
2080 CENTURY PARK E STE 1407, LOS ANGELES, CA 90067-2017
(310) 277-2929
(310) 277-2924
Mailing address
PO BOX 35025, LOS ANGELES, CA 90035-0025

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
208800000X
Urology Physician
Primary
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1053762948
CA
Enumeration date
05/15/2025
Last updated
05/15/2025
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