Jiwan P Gupta M.D.

NPI 1053305458 - General Practice - 208D00000X

NPI Details
NPI 1053305458
Gender Male
Enumeration Date 08/31/2005
Last Updated 11/15/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
4840 IRVINE BLVD
SUITE 203
IRVINE CA, 92620-1962, US
Phone (949) 769-3657
Fax (949) 769-3657
Business Location
PO BOX 54292
IRVINE CA, 92619-4292, US
Phone (949) 769-3657
Fax (949) 769-3657
Toxanomy
Taxonomy Code 208D00000X
License State California
License Number A37323
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According to our database, Dr. Jiwan P Gupta M.D. NPI is 1053305458, taxonomy code is 208D00000X and license number is A37323, license state is located at California. Jiwan P Gupta M.D. physically located at 4840 Irvine Blvd, Irvine CA, 92620-1962. NPI Number Jiwan P Gupta M.D. has the Individual type.

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1053305458 NPI number is provided on an as is basis without warranty of any kind. 1053305458 is maintained by the National Plan & Provider Enumeration System. The contents of Jiwan P Gupta M.D. are for informational purposes only.