Kaupke, Charles Jeffrey

Kaupke, Charles Jeffrey is an sole proprietor health care provider with primary practice located at 705 W La Veta Ave Ste 107 , Orange CA 92868-4447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kaupke, Charles Jeffrey can be contacted via phone (714) 639-4601.

Contact Information

Primary practice address
705 W La Veta Ave Ste 107 Orange CA 92868-4447
Fax: (714) 771-5389
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G38574 California

Profile Details

NPI number 1770542920
LBN Legal business name Kaupke, Charles Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2006
Last updated Mar 1st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770542920 NPPES
California MEDICAID 00G385740

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