Gupta, Saurabh
Gupta, Saurabh is an sole proprietor health care provider with primary practice located at 3990 Old Town Ave Ste. A-208, San Diego CA 92110-2930. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Gupta, Saurabh can be contacted via phone (619) 537-9345.Contact Information
Primary practice address
3990 Old Town Ave Ste. A-208
San Diego CA 92110-2930
Phone: (619) 537-9345
Fax: (619) 269-9245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY24218 | California |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY24218 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY24218 | California |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PSY24218 | California |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PSY24218 | California |
Profile Details
| NPI number | 1356637185 |
|---|---|
| LBN Legal business name | Gupta, Saurabh |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2011 |
| Last updated | Aug 8th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356637185 | NPPES |
| Other | 12258947 | CAQH |
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