Healthcare Provider Details

I. General information

NPI: 1235217720
Provider Name (Legal Business Name): PURVI PATEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 N SAN FERNANDO BLVD STE J237
BURBANK CA
91504-4350
US

IV. Provider business mailing address

234 N LAKE AVE STE 338
PASADENA CA
91101
US

V. Phone/Fax

Practice location:
  • Phone: 626-898-8000
  • Fax:
Mailing address:
  • Phone: 626-898-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA82356
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: