MEDICARE: DR. PRAVEEN 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	207V00000X	Obstetrics & Gynecology Physician	A25680	CA

General Provider Information

NPI Number	:	1649386707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRAVEEN GUPTA M.D.

Provider Business Mailing Address
First Line	:	10542 VENICE BLVD
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90232-3308
Country	:	US
Telephone Number	:	310-559-0575
Fax Number	:	310-839-5473

Provider Business Practice Location Address
First Line	:	10542 VENICE BLVD
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90232-3308
Country	:	US
Telephone Number	:	310-559-0575
Fax Number	:	310-839-5473

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

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	01/27/2026

Similar Medicare Providers

1861413304 — DR. ANTHONY JOHN VANDE WYDEVEN OD
Practice Location Address:

10522 VENICE BLVD
CULVER CITY, CA
90232-3308

Practice Phone: 310-838-0521
Practice Fax: 310-839-6201

1861547507 — DR. RICHARD A. MOSELLE DDS
Practice Location Address:

10538 VENICE BLVD
CULVER CITY, CA
90232-3308

Practice Phone: 310-838-1069
Practice Fax:

1891295408 — PRAVEEN GUPTA A MEDICAL CORPORATION
Practice Location Address:

10542 VENICE BLVD
CULVER CITY, CA
90232-3308

Practice Phone: 310-559-0575
Practice Fax: 310-839-5473

1093532731 — ROSENBAUM DENTAL CORP
Practice Location Address:

10538 VENICE BLVD
CULVER CITY, CA
90232-3308

Practice Phone: 310-838-1069
Practice Fax:

1376548321 — MARILYN CASHON LP, LPC
Practice Location Address:

3308 W EDGEWOOD DR , STE C
JEFFERSON CITY, MO
65109-6891

Practice Phone: 573-761-4340
Practice Fax: 573-761-4478

1578564522 — DAVID L. RUSSELL O.D.
Practice Location Address:

1218 NORTH 79TH STREET
KANSAS CITY, KS
66112-3308

Practice Phone: 913-788-3234
Practice Fax:

Directions to “ DR. PRAVEEN 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.