Provider Demographics
NPI:1801992268
Name:KAUFMAN, JOHN (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:23861 MCBEAN PKWY
Mailing Address - Street 2:E30
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2058
Mailing Address - Country:US
Mailing Address - Phone:661-259-3412
Mailing Address - Fax:661-259-7384
Practice Address - Street 1:23861 MCBEAN PKWY
Practice Address - Street 2:E30
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2058
Practice Address - Country:US
Practice Address - Phone:661-259-3412
Practice Address - Fax:661-259-7384
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2015-03-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC35644207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA36038Medicare UPIN