Organization
ARUNA GUPTA, MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARUNA GUPTA MD (PRESIDENT)
(951) 787-7753
Entity
Organization
Contact information
Practice address
6850 BROCKTON AVENUE, SUITE # 108, RIVERSIDE, CA 92506-3816
(951) 787-7753
Mailing address
PO BOX 20293, RIVERSIDE, CA 92516-0293
(951) 787-7753
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A88415
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A884150
MEDI-CAL
CA
Enumeration date
07/31/2007
Last updated
11/15/2011
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