Individual
DR. KISHAN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
200 STEIN PLAZA #1-340, LOS ANGELES, CA 90095-0001
(310) 825-5000
Mailing address
9449 IMPERIAL HWY, DOWNEY, CA 90242-2814
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A160932
CA
Other
Enumeration date
04/21/2015
Last updated
11/30/2021
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