Individual
VIPUL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
4053 LONE TREE WAY STE 200, ANTIOCH, CA 94531
(925) 776-7725
(925) 757-0849
Mailing address
2350 W EL CAMINO REAL FL 2, MOUNTAIN VIEW, CA 94040-6203
(925) 776-7725
(925) 757-0849
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A119408
CA
207RC0000X
Cardiovascular Disease Physician
A119408
CA
207RI0011X
Interventional Cardiology Physician
Primary
A119408
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A119408
STATE MEDICAL LICENSE
CA
Enumeration date
01/26/2009
Last updated
03/07/2023
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