Gupta, Ajay

Gupta, Ajay is an individual health care provider with primary practice located at 21840 Normandie Ave , Torrance CA 90502-2047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Gupta, Ajay can be contacted via phone (310) 222-5015.

Contact Information

Primary practice address
21840 Normandie Ave Torrance CA 90502-2047
Fax: (310) 328-1415
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X C50579 California

Profile Details

NPI number 1477529279
LBN Legal business name Gupta, Ajay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477529279 NPPES
California MEDICAID 00C505790

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