Healthcare Provider Details

I. General information

NPI: 1639041767
Provider Name (Legal Business Name): MRS. ALEXANDRIA KUPKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

362 S ALESSANDRO ST APT B
HEMET CA
92543-5993
US

IV. Provider business mailing address

362 S ALESSANDRO ST APT B
HEMET CA
92543-5993
US

V. Phone/Fax

Practice location:
  • Phone: 951-855-4219
  • Fax:
Mailing address:
  • Phone: 951-855-4219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: