Individual
DEEPTI PISUPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 S GRAND AVE, EMERGENCY DEPARTMENT, LOS ANGELES, CA 90015-3010
(213) 748-2411
Mailing address
4551 GLENCOE AVE, SUITE 260, MARINA DEL REY, CA 90292-6385
(310) 301-2030
(310) 306-5247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A82391
CA
Other
Enumeration date
05/15/2006
Last updated
12/28/2010
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