MARINE KUPALYAN
NPI 1104451921
Nurse Practitioner - Family in Los Angeles, CA

Q: What is Marine Kupalyan's NPI number?

The NPI number for Marine Kupalyan is 1104451921. It was assigned to this individual provider in the NPPES registry on March 12, 2020.

Q: What is Marine Kupalyan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Marine Kupalyan was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 12, 2020

10833 LE CONTE 22-387 MDCC, LOS ANGELES, CA 90095(310) 825-5930(310) 794-7338 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2026, Mar 12, 2020 (2 updates tracked since 2020).

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About Marine Kupalyan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARINE KUPALYAN (NPI 1104451921) is an individual family provider in Los Angeles, California, licensed in California (95034243) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1104451921

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARINE KUPALYAN

Location Address10833 LE CONTE 22-387 MDCCLos Angeles, CA 90095-1752

Mailing Address10833 Le Conte 22-387 MdccLos Angeles, CA 90095-1752 · (310) 825-5930 · Fax (310) 794-7338

Phone(310) 825-5930

Fax(310) 794-7338

Sole ProprietorYes

Enumeration DateMarch 12, 2020

Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1104451921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95034243

10833 LE CONTE 22-387 MDCC, Los Angeles, CA 90095

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marine Kupalyan's NPI number?

The NPI number for Marine Kupalyan is 1104451921. It was assigned to this individual provider in the NPPES registry on March 12, 2020.

Where is Marine Kupalyan located?

Marine Kupalyan practices at 10833 Le Conte 22-387 Mdcc, Los Angeles, CA 90095. The listed phone number is (310) 825-5930.

What is Marine Kupalyan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Marine Kupalyan was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.