Individual provider · Type 1 NPI
Jiwan P. Gupta, MD
General Practice Physician · Irvine, CA
NPI number
1053305458
Active
Practice location
14795 Jeffrey Rd Ste 204
Irvine, CA 92618-0417
Mailing address
33 Montgomery
Mission Viejo, CA 92692-5115
Other practice locations
- 33 Montgomery, Mission Viejo, CA 92692-5115 · (949) 648-3878
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | A37323 (CA) |
| Anesthesiology Physician | 207L00000X | A37323 (CA) |
| General Practice Physician Primary | 208D00000X | A37323 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
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About NPI 1053305458
Jiwan P. Gupta, MD's National Provider Identifier is 1053305458, issued on Aug 31, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Irvine, CA. The record was last updated on May 13, 2021.