# KAPIL GUPTA MD A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558737510
- **Authorized official:** DR. KAPIL GUPTA MD (PRESIDENT)
- **Authorized official phone:** (310) 890-2855

## Contact information

- **Practice address:** 8631 W 3RD ST, \#1015-E, LOS ANGELES, CA 90048-5901
- **Practice address phone:** (310) 890-2855
- **Mailing address:** PO BOX 5772, BEVERLY HILLS, CA 90209-5772
- **Mailing address phone:** (310) 273-7365
- **Mailing address fax:** (310) 273-7366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A92432 | CA | Yes |

## Other

- **Enumeration date:** 08/13/2015
- **Last updated:** 08/13/2015