Organization
ANUJ GUPTA, M.D., CORPORATION
Active
Parent organization
ANUJ GUPTA, M.D., CORPORATION
Other names
Advanced Pain Management
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANUJ GUPTA, M.D., CORPORATION
Authorized official
DR. ANUJ GUPTA MD (MEDICAL DIRECTOR)
(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
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 943-4180
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A85939
CA
Other
Enumeration date
08/15/2013
Last updated
08/22/2013
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