MEDICARE: DR. SHALU GUPTA M.D.

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
1	207W00000X	Ophthalmology Physician	A90497	CA

General Provider Information

NPI Number	:	1518187202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHALU GUPTA M.D.

Provider Business Mailing Address
First Line	:	3900 LONG BEACH BLVD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-2615
Country	:	US
Telephone Number	:	562-988-8668
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 LONG BEACH BLVD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-2615
Country	:	US
Telephone Number	:	562-988-8668
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	02/06/2019

Similar Medicare Providers

1316493158 — DR. ALMA LEONELI FUENTES OD
Practice Location Address:

3900 LONG BEACH BLVD
LONG BEACH, CA
90807-2615

Practice Phone: 562-685-8605
Practice Fax:

1427052190 — EYE TREATMENT CENTER, AN INCORPORATED MEDICAL GROUP, INC
Practice Location Address:

3900 LONG BEACH BLVD
LONG BEACH, CA
90807-2615

Practice Phone: 562-988-8668
Practice Fax: 562-988-8660

1245234178 — IRENE F SASAKI M.D.
Practice Location Address:

3900 LONG BEACH BLVD
LONG BEACH, CA
90807-2615

Practice Phone: 562-988-8660
Practice Fax: 562-988-8660

1134188519 — AUDREY CHEN MOK MD
Practice Location Address:

3900 LONG BEACH BLVD
LONG BEACH, CA
90807-2615

Practice Phone: 562-988-8668
Practice Fax: 562-988-8660

1962468777 — DR. PATRICIA YUN M.D.
Practice Location Address:

LASER SKIN CARE CENTER , 3918 LONG BEACH BOULEVARD SUITE 200
LONG BEACH, CA
90807-2615

Practice Phone: 562-989-7829
Practice Fax: 562-989-7829

1235195405 — DR. BRIAN TABAK M.D.
Practice Location Address:

LASER SKIN CARE CENTER , 3918 LONG BEACH BOULEVARD SUITE 200
LONG BEACH, CA
90807-2615

Practice Phone: 562-989-7829
Practice Fax: 562-989-3612

Directions to “ DR. SHALU GUPTA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.