Organization
PRAVEEN GUPTA A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEEN GUPTA MD (MD)
(310) 430-2100
Entity
Organization
Contact information
Practice address
10542 VENICE BLVD, CULVER CITY, CA 90232-3308
(310) 559-0575
(310) 839-5473
Mailing address
10542 VENICE BLVD, CULVER CITY, CA 90232-3308
(310) 559-0575
(310) 839-5473
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A25680
CA
Other
Enumeration date
02/20/2018
Last updated
01/27/2026
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