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Individual

SAVITA GUPTA RIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2801 ATLANTIC AVE, DEPARTMENT OF PATHOLOGY, LONG BEACH, CA 90806-1701
(562) 933-0727
(562) 933-0791
Mailing address
2801 ATLANTIC AVE, DEPARTMENT OF PATHOLOGY, LONG BEACH, CA 90806-1701
(562) 933-0727
(562) 933-0791

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
G79020
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G79020
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G790200
CA
Enumeration date
04/26/2006
Last updated
10/09/2007
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