Provider Demographics
NPI:1427297803
Name:LUPSHA, ARTHUR (DPT)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:
Last Name:LUPSHA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26921 CROWN VALLEY PKWY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6501
Mailing Address - Country:US
Mailing Address - Phone:949-307-6065
Mailing Address - Fax:949-218-3824
Practice Address - Street 1:222 AVENIDA LOBEIRO
Practice Address - Street 2:UNIT A
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-7406
Practice Address - Country:US
Practice Address - Phone:858-376-1210
Practice Address - Fax:949-218-3824
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 20231225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist