Samir Gupta
Gastroenterologist
3350 La Jolla Village Dr
San Diego
, California 92161-0002
Samir Gupta
Gastroenterologist
3350 La Jolla Village Dr
San Diego
, California 92161-0002
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Samir Gupta
- Po Box 232410
- San Diego, CA
- Zip : 92193-2410
- Phone :
Second Address
- Samir Gupta
- 3350 La Jolla Village Dr
- San Diego, CA
- Zip : 92161-0002
- Phone : (858) 552-8585
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | A78715 | CA |
National Provider Identifier
| NPI | 1023127057 |
|---|---|
| Provider Name | Samir Gupta |
| First Address | San Diego, CA 92193-2410 |
| Second Address | San Diego, CA 92161-0002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 21/12/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1788 | (02) | TX |
| 183520901 | (05) | TX |
| A78715 | MEDICAL BOARD OF CALIFORNIA MEDICAL LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.