Gupta, Vinod Kumar

Gupta, Vinod Kumar is an individual health care provider with primary practice located at 2876 Sycamore Dr , Simi Valley CA 93065-1550. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gupta, Vinod Kumar can be contacted via phone (805) 527-6616.

Contact Information

Primary practice address
2876 Sycamore Dr Simi Valley CA 93065-1550
Fax: (805) 526-7001
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A032271 California

Profile Details

NPI number 1891765574
LBN Legal business name Gupta, Vinod Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Aug 10th, 2011 - about 13 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 1891765574 NPPES
California MEDICAID 00A322710

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