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General NPI Number Information
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NPI Number | 1326128455
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Entity Type | Individual
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Provider Name | BARUCH D KUPPERMANN MD
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 850 HEALTH SCIENCES RD
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City | IRVINE
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State | CA
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Zip | 92617-3058
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Country | US
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Telephone | 949-824-2020
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Fax |
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Provider Business Mailing Address
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Address Line | UCI OPHTHALMOLOGY GROUP PO BOX 51055
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City | LOS ANGELES
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State | CA
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Zip | 90051-5355
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Country | US
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Telephone | 714-456-6369
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 000000G63254
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | G63254
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License Number State | CA
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