Individual
NISHA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10601 WASHINGTON BLVD, CULVER CITY, CA 90232-3385
(352) 206-6800
Mailing address
2512 Q ST NW APT 322, WASHINGTON, DC 20007-4464
(352) 206-6800
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
17566
CA
Other
Enumeration date
12/26/2023
Last updated
06/27/2025
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