Organization
AG PAIN MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIT GUPTA DO (PHYSICIAN/OWNER)
(619) 227-2353
Entity
Organization
Contact information
Practice address
1687 ERRINGER ROAD, # 217, SIMI VALLEY, CA 93065
(805) 526-1700
(805) 512-7880
Mailing address
1687 ERRINGER ROAD, # 217, SIMI VALLEY, CA 93065
(805) 526-1700
(805) 512-7880
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
20A11210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A11210
MEDICAL LICENSE #
CA
Enumeration date
01/16/2012
Last updated
05/19/2021
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