Abha Gupta M D A Professional Corporation | |
801 N Tustin Ave Ste 201 Santa Ana CA 92705-3600 | |
(714) 558-7277 | |
(714) 558-3075 |
Full Name | Abha Gupta M D A Professional Corporation |
---|---|
Speciality | Clinic/Center |
Location | 801 N Tustin Ave Ste 201, Santa Ana, California |
Authorized Official Name and Position | Abha S Gupta (OWNER) |
Authorized Official Contact | 7145587277 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Abha Gupta M D A Professional Corporation 801 N Tustin Ave Ste 201 Santa Ana CA 92705-3600 Ph: (714) 558-7277 | Abha Gupta M D A Professional Corporation 801 N Tustin Ave Ste 201 Santa Ana CA 92705-3600 Ph: (714) 558-7277 |
NPI Number | 1386972537 |
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Provider Enumeration Date | 11/30/2009 |
Last Update Date | 09/17/2010 |
Medicare PECOS PAC ID | 7315062213 |
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Medicare Enrollment ID | O20100915001063 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386972537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | A41163 (California) | Primary |
Provider Name | Abha Gupta |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1336140458 PECOS PAC ID: 2567588064 Enrollment ID: I20100921001452 |
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