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Romero David Kupai

Emergency Medicine

Allopathic & Osteopathic Physicians

4445 Magnolia Ave, Riverside, CA 92501-4135

PECOS Enrollment

This provider is enrolled in PECOS as ROMERO KUPAI.

Based on the most recent information from CMS, provider Romero David Kupai is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1255890570
Provider Type
Individual
Full Name
Kupai, Romero David
Title
Mr.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/16/2019
Last Updated
9/26/2023

Contact Information

Practice Location

4445 Magnolia Ave, Riverside, CA 92501-4135

(951) 788-3000

Unlisted Fax

Mailing Location

2830 W Potrero Rd, Thousand Oaks, CA 91361-5088

(253) 347-0192

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License PTL320 California

Romero David Kupai

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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