Doctor Name: | DR. TINA DASGUPTA |
NPI Number: | 1356500656 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D., PH.D. |
License Number: | |
Business Practice Address: | 5522 Sepulveda Blvd Sherman Oaks, CA - 914113437 |
Business Phone Number: | 8189971522 |
Business Fax Number: | 8189970705 |
Mailing Address: | Po Box 513969, LOS ANGELES |
State: | CA |
Postal Code: | 900513969 |
Phone Number: | 3103354065 |
Fax Number: | 3103354098 |
NPI Enumeration Date: | 06/03/2008 |
NPI Last Update Date: | 05/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |