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General NPI Number Information
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NPI Number | 1659649150
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Entity Type | Organization
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Legal Business Name | SMITA R. GUPTA MD INC
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1250 6TH ST STE 203
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City | SANTA MONICA
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State | CA
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Zip | 90401-1637
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Country | US
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Telephone | 424-259-2889
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Fax | 424-229-9943
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Provider Business Mailing Address
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Address Line | 1217 WILSHIRE BLVD # 3367
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City | SANTA MONICA
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State | CA
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Zip | 90403-5466
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SMITA RANI GUPTA
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Credential | MD
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Telephone | 267-981-6724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | A101037
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License Number State | CA
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