Individual
DR. ANAND RAJA BHUPATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
21634 RETREAT PKWY, CORONA, CA 92883-6100
(951) 782-3818
(951) 826-8128
Mailing address
21634 RETREAT PKWY, CORONA, CA 92883-6100
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A6177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A6177
LICENCE
CA
Enumeration date
09/14/2006
Last updated
04/11/2025
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