Individual
AMIT GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8631 W 3RD ST STE 531E, LOS ANGELES, CA 90048-5901
(310) 734-8942
(310) 736-6591
Mailing address
8631 W 3RD ST STE 531E, LOS ANGELES, CA 90048-5901
(310) 734-8942
(310) 736-6591
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
39557
IA
208800000X
Urology Physician
Primary
C142651
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP2-0023760
INSTITUTIONAL PERMIT
—
Enumeration date
06/13/2007
Last updated
03/01/2023
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