Individual
ANUJ GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2023 W VISTA WAY, SUITE D, VISTA, CA 92083-6030
(619) 330-8771
(619) 330-8772
Mailing address
2023 W VISTA WAY, SUITE D, VISTA, CA 92083-6030
(619) 330-8771
(619) 330-8772
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A85939
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A85939
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A85939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1409987
—
LA
05
—
190104301
—
TX
Enumeration date
08/21/2006
Last updated
09/25/2013
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