Healthcare Provider Details

I. General information

NPI: 1275818122
Provider Name (Legal Business Name): SEJAL M PATEL MD INC A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2011
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 N ROXBURY DR STE 106
BEVERLY HILLS CA
90210-5003
US

IV. Provider business mailing address

435 N ROXBURY DR STE 106
BEVERLY HILLS CA
90210-5003
US

V. Phone/Fax

Practice location:
  • Phone: 424-652-8801
  • Fax: 310-362-0319
Mailing address:
  • Phone: 424-652-8801
  • Fax: 310-362-0319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA104427
License Number StateCA

VIII. Authorized Official

Name: DR. SEJAL M PATEL
Title or Position: PHYSICIAN
Credential:
Phone: 424-652-8801