MUKESH BHAVDUTT GUPTA MD A PROFESSIONAL CORPORATION
Anesthesiologist Assistant at Magnolia Ave, Riverside, CA

License number
California A70036
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: DR. MUKESH BHAVDUTT GUPTA MD
Title: PRESIDENT
Phone: (714) 347-1010
Address
Address 2
4444 Magnolia Ave #C, Riverside, CA 92501
210 N Tustin Ave, Santa Ana, CA 92705
National Provider ID: 1619308061
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MUKESH BHAVDUTT GUPTA, M.D., A PROFESSIONAL CORPORATION

Riverside, CA

Status:
Inactive
Registration:
Jul 7, 2006
Addresses:
3131 Arlington Ave APT NO 9, Riverside, CA 92506 (Physical)
3681 Sunnyside Dr, Riverside, CA 92506
State ID:
C2898805
Business type:
Articles of Incorporation
President:
Mukesh B. Gupta President, inactive
Agent:
Mukesh Bhavdutt Gupta,Riverside, CA 92506 (Physical)

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