| 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 |
|---|---|
| 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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