Individual
DR. NEELAM GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
341 E MAIN ST, SAN JACINTO, CA 92583-4231
(951) 654-9367
(951) 654-0839
Mailing address
341 E MAIN ST, SAN JACINTO, CA 92583-4231
(951) 654-9367
(951) 654-0839
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A45395
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A453950
—
CA
Enumeration date
11/21/2007
Last updated
05/05/2014
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