Organization Active NPI

L. Iri Kupferwasser MD a Medical Corporation

  • Cardiovascular Disease Physician
  • Van Nuys, CA
National Provider Identifier
1699092023
Registry record updated Apr 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A83900 Issued in CA
Legal business name
L. IRI KUPFERWASSER MD A MEDICAL CORPORATION
Practice address
16119 Vanowen St
Van Nuys, CA 91406-4822
Phone
(818) 904-6782
Fax
(818) 904-5896
NPI assigned
Apr 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Leon Iri Kupferwasser, MD
Title
President
Phone
(310) 210-3883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A83900 CA Primary

Addresses

Primary practice location

16119 Vanowen St
Van Nuys, CA 91406-4822

Mailing address

16119 Vanowen St
Van Nuys, CA 91406-4822
Phone (818) 904-6782

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272153600000",
    "number": "1699092023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16119 VANOWEN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064822",
            "telephone_number": "818-904-6782",
            "fax_number": "818-904-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16119 VANOWEN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064822",
            "telephone_number": "818-904-6782",
            "fax_number": "818-904-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. IRI KUPFERWASSER MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-25",
        "last_updated": "2010-04-25",
        "status": "A",
        "authorized_official_last_name": "KUPFERWASSER",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "IRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-210-3883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A83900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.