Individual
AJAY GUPTA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21840 NORMANDIE AVE, TORRANCE, CA 90502-2047
(310) 222-5015
(310) 328-1415
Mailing address
21840 NORMANDIE AVE, TORRANCE, CA 90502-2047
(310) 222-5015
(310) 328-1415
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
C50579
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C505790
—
CA
Enumeration date
02/23/2006
Last updated
07/09/2007
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