Individual
PREETI GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9300 CAMPUS POINT DR, LA JOLLA, CA 92037-1300
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.153579
IL
207R00000X
Internal Medicine Physician
A196707
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A196707
CA
207RP1001X
Pulmonary Disease Physician
A196707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.153579
ILLINOIS MEDICAL LICENSE
IL
Enumeration date
04/13/2017
Last updated
08/29/2024
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