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Organization
AG SIMPLY MEDICINE
Active
Organization
AG SIMPLY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT GUPTA DO (TRUSTEE)
(805) 422-8131
Entity
Organization
Contact information
Practice address
1687 ERRINGER RD STE 217, SIMI VALLEY, CA 93065-6510
(281) 505-5680
Mailing address
1687 ERRINGER RD STE 217, SIMI VALLEY, CA 93065-6510
(805) 422-8131
(805) 422-8037
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
03/03/2022
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