Individual
ILESHA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18173 PIONEER BLVD STE 1, ARTESIA, CA 90701-3977
(562) 403-0488
Mailing address
18173 PIONEER BLVD STE 1, ARTESIA, CA 90701-3977
(562) 403-0488
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
04/27/2026
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