Sukalpa John Dutta, MD, INC.
Family Medicine in Apple Valley, CA. Organization (NPI-2).
NPI number1265123749
StatusActive
Last updated in NPPESMay 16, 2023
Details
- NPI
- 1265123749
- Entity type
- Organization (NPI-2)
- Legal business name
- Sukalpa John Dutta, MD, INC.
- Organization subpart
- No
- Enumeration date
- May 16, 2023
- Certification date
- May 16, 2023
- Last updated
- May 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
18012 Wika RdApple Valley, CA 92307-2125
Phone 442-292-2358 · Fax 949-404-6801
Mailing address
18092 Wika Rd Ste 220Apple Valley, CA 92307-2132
Phone 760-515-6260 · Fax 949-863-8505
Authorized official
Sukalpa Dutta
President
3104971070
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