Organization
CALIFORNIA FACE INSTITUTE APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMAR GUPTA MD (PRESIDENT)
(951) 313-6843
Entity
Organization
Contact information
Practice address
6850 BROCKTON AVE STE 108, RIVERSIDE, CA 92506-3814
(951) 313-6843
(951) 800-1850
Mailing address
6850 BROCKTON AVE STE 108, RIVERSIDE, CA 92506-3814
(951) 313-6843
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
207YS0123X
Facial Plastic Surgery Physician
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
08/30/2021
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