Organization
ANUJ GUPTA MD CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANUJ GUPTA MD (OWNER)
(619) 330-8771
Entity
Organization
Contact information
Practice address
2023 W VISTA WAY, SUITE D, VISTA, CA 92083-6030
(619) 330-8771
(619) 330-8772
Mailing address
2023 W VISTA WAY, SUITE D, VISTA, CA 92083-6030
(619) 330-8771
(619) 330-8772
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A85939
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A85939
CA
261QP3300X
Pain Clinic/Center
A85939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR1641
MEDICARE RAIL ROAD
—
Enumeration date
02/26/2010
Last updated
10/15/2013
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