Individual
ANIL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1535 W MERCED AVE STE 301, WEST COVINA, CA 91790-3404
(626) 922-0533
(626) 918-2517
Mailing address
409 E MERCED AVE, STE B, WEST COVINA, CA 91790
(626) 918-1569
(626) 918-2517
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A46009
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A460090
—
CA
01
—
A46009
MEDICARE ID
CA
Enumeration date
07/25/2006
Last updated
04/11/2023
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