Neelam Gupta | |
341 E Main St San Jacinto CA 92583-4231 | |
(951) 654-5590 | |
(951) 654-0839 |
Full Name | Neelam Gupta |
---|---|
Speciality | Clinic/center |
Location | 341 E Main St, San Jacinto, California |
Authorized Official Name and Position | Neelma Gupta (OFFICE MANAGER) |
Authorized Official Contact | 9516545590 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Neelam Gupta 341 E Main St San Jacinto CA 92583-4231 Ph: (951) 654-5590 | Neelam Gupta 341 E Main St San Jacinto CA 92583-4231 Ph: (951) 654-5590 |
NPI Number | 1811030893 |
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Provider Enumeration Date | 02/15/2007 |
Last Update Date | 08/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811030893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | A45395 (California) | Primary |
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