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NPI Code Detail

MEDICARE: USHA GUPTA MD

MEDICARE:   USHA  GUPTA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianA33035CA

General Provider Information

NPI Number : 1134151251
Entity Type Code : Individual
Provider Name (Legal Business Name) : USHA GUPTA MD
Provider Business Mailing Address
First Line : 210 N TUSTIN AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3807
Country : US
Telephone Number : 714-347-1053
Fax Number : 714-647-1245
Provider Business Practice Location Address
First Line : 1701 SANTA ANITA AVE
Second Line :
City : SOUTH EL MONTE
State : CA
Zip : 91733-3411
Country : US
Telephone Number : 714-347-1000
Fax Number : 714-647-1245
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 01/28/2019

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Directions to “ USHA GUPTA MD” Practice Location

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