Most Relevant Information
Provider Data
| NPI Number: | 1003592395 |
| Provider Name: | ILESHA GUPTA |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/22/2023 |
| Last Updated: | 06/23/2023 |
Provider Practice Location
18173 PIONEER BLVD STE 1
ARTESIA
CA
907013977
Practice Location Phone/Fax
| Phone: | 5624030488 |
| Fax: |
Provider Mailing Location
18173 PIONEER BLVD STE 1
ARTESIA
CA
907013977
Provider Mailing Phone/Fax
| Phone: | 5624030488 |
| Fax: |