Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A125113 | CA |
N | 111NI0900X | Internist | A125113 | CA |
Y | 207RC0000X | Internist - Cardiovascular Disease | A125113 | CA |
NPI | 1003133422 |
---|---|
Provider Name | Miss Pritha Payel Gupta |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Beverly Hills, CA 90211-2919 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2010 |
Last Update Date | 29/08/2019 |