Individual
DEEPTI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1227 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-2871
(805) 582-4000
Mailing address
800 S VICTORIA AVE # L4640, VENTURA, CA 93009-0003
(805) 677-5146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A110895
CA
Other
Enumeration date
11/03/2008
Last updated
10/23/2021
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