| Virginia Kitch Lupo, MS | |
|
200 Ucla Medical Plz # 540, Los Angeles, CA 90095-8344 | |
| (310) 825-5721 | |
| Not Available |
| Full Name | Virginia Kitch Lupo |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 200 Ucla Medical Plz # 540, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407028913 | NPI | - | NPPES |
| 59186348 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 345 (Colorado) | Secondary |
| 231H00000X | Audiologist | AU2896 (California) | Primary |
| Provider Name | Colorado Permanente Medical Group PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
| Provider Name | Marion Downs Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114148335 PECOS PAC ID: 9234029034 Enrollment ID: O20040316001359 |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Kitch Lupo, MS 200 Ucla Medical Plz # 540, Los Angeles, CA 90095-8344 Ph: (310) 825-5721 | Virginia Kitch Lupo, MS 200 Ucla Medical Plz # 540, Los Angeles, CA 90095-8344 Ph: (310) 825-5721 |
House Ear Institute Care Center Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2100 W 3rd St, Los Angeles, CA 90057 Phone: 213-353-7005 Fax: 213-483-3716 |
Mr. Ray W. Lawrence, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2080 Century Park E Ste 1702, Los Angeles, CA 90067 Phone: 310-201-0731 Fax: 310-201-9665 |
Susana Jennifer Hernandez, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 920 Westwood Blvd, Los Angeles, CA 90024 Phone: 424-518-1975 |
Martha L. Andrews, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11301 Wilshire Blvd, W126, Los Angeles, CA 90073 Phone: 310-268-3701 Fax: 310-268-4791 |
Pearl Yeawon Lee, Audiologist Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 590w, Los Angeles, CA 90048 Phone: 310-423-1220 Fax: 310-423-1230 |
Lindsey Seong, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd Ste 1620, Los Angeles, CA 90017 Phone: 213-353-7052 |
Robert Rathburn, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2100 W 3rd St Ste 111, Los Angeles, CA 90057 Phone: 213-353-7052 |