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1336178169
ILAN KUPERMAN
NEWPORT BEACH, CA
NPI
1336178169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A87018)
Enumeration Date
2006-07-02
Last Update Date
2011-09-16
Business Address
ILAN KUPERMAN M.D.
4321 BIRCH ST
NEWPORT BEACH, CA 92660-1923
Phone number: 949-851-1550
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Mailing Address
ILAN KUPERMAN M.D.
3525 DEL MAR HEIGHTS RD #379
SAN DIEGO, CA 92130-2122
Phone number: 949-851-1550
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