Individual
DR. SHILPA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7117 BROCKTON AVENUE, RIVERSIDE, CA 92506-3912
(951) 782-3635
(951) 784-3256
Mailing address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 782-3635
(951) 784-3256
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
35.085866
OH
2080P0205X
Pediatric Endocrinology Physician
Primary
A104340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ31887Z
PTAN
CA
Enumeration date
05/17/2007
Last updated
04/14/2025
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