Organization
DR. A.R. BHUPATHY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANAND RAJA BHUPATHY D.O. (CEO/OWNER/PRESIDENT)
(714) 524-9700
Entity
Organization
Contact information
Practice address
11326 MOUNTAIN VIEW AVE STE B, LOMA LINDA, CA 92354-3817
(909) 799-0029
(760) 318-8103
Mailing address
22400 BARTON RD # 21-198, GRAND TERRACE, CA 92313-5030
(714) 315-3633
(760) 318-8103
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A6177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A6177
LICENSE
CA
Enumeration date
09/26/2006
Last updated
05/15/2023
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