Organization
NEELAM GUPTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NEELMA GUPTA M.D. (OFFICE MANAGER)
(951) 654-5590
Entity
Organization
Contact information
Practice address
341 E MAIN ST, SAN JACINTO, CA 92583-4231
(951) 654-5590
(951) 654-0839
Mailing address
341 E MAIN ST, SAN JACINTO, CA 92583-4231
(951) 654-5590
(951) 654-0839
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A45395
CA
Other
Enumeration date
02/15/2007
Last updated
08/14/2008
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