Individual
INDU GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3751 KATELLA AVE, LOS ALAMITOS, CA 90720-3113
(562) 799-3132
Mailing address
3751 KATELLA AVE, LOS ALAMITOS, CA 90720-3113
(562) 598-1311
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A73356
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A73356
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A733560
—
CA
Enumeration date
04/14/2006
Last updated
11/15/2016
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