Organization
ABHAY GUPTA, M.D., INC.
Active
Other names
Gupta Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
ABHAY GUPTA M.D. (PRESIDENT / MEDICAL DIRECTOR)
(858) 621-6000
Entity
Organization
Contact information
Practice address
10672 WEXFORD ST, SUITE 275, SAN DIEGO, CA 92131-3969
(858) 621-6000
(858) 621-6340
Mailing address
10672 WEXFORD ST, SUITE 275, SAN DIEGO, CA 92131-3969
(858) 621-6000
(858) 621-6340
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A88550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A88550
STATE LICENSE
CA
Enumeration date
04/01/2009
Last updated
05/25/2011
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