Healthcare Provider Details

I. General information

NPI: 1336476910
Provider Name (Legal Business Name): MARGARITA LUPAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2009
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23632 CALABASAS RD STE 100
CALABASAS CA
91302-1553
US

IV. Provider business mailing address

23632 CALABASAS RD STE 100
CALABASAS CA
91302-1553
US

V. Phone/Fax

Practice location:
  • Phone: 818-476-4880
  • Fax:
Mailing address:
  • Phone: 818-476-4880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2025019348
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: