Organization
KAPIL GUPTA MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAPIL GUPTA MD (PRESIDENT)
(310) 890-2855
Entity
Organization
Contact information
Practice address
8631 W 3RD ST, #1015-E, LOS ANGELES, CA 90048-5901
(310) 890-2855
Mailing address
PO BOX 5772, BEVERLY HILLS, CA 90209-5772
(310) 273-7365
(310) 273-7366
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A92432
CA
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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