Individual
ATUL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2801 ATLANTIC AVE, DEPT OF EMERGENCY MED, LONG BEACH, CA 90806-1701
(562) 933-2000
(818) 587-2493
Mailing address
2801 ATLANTIC AVE, DEPT OF EMERGENCY MEDICINE, LONG BEACH, CA 90806-1701
(562) 933-1411
(562) 933-1412
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A7636
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX76360
—
CA
01
—
020A76360
BLUE SHIELD
CA
01
—
P00110248
RAILROAD MEDICARE
CA
Enumeration date
06/06/2006
Last updated
11/29/2021
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