Individual
MR. RAVI GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8737 VAN NUYS BLVD, PANORAMA CITY, CA 91402-2401
(818) 810-6429
(818) 810-6479
Mailing address
8737 VAN NUYS BLVD, PANORAMA CITY, CA 91402-2401
(818) 810-6429
(818) 810-6479
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A45396
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A453961
—
CA
Enumeration date
08/04/2005
Last updated
09/03/2014
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