Healthcare Provider Details

I. General information

NPI: 1427266352
Provider Name (Legal Business Name): TARAL A PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S MAIN ST
CORONA CA
92882-3420
US

IV. Provider business mailing address

248 N DALTON DR
ANAHEIM CA
92807-2954
US

V. Phone/Fax

Practice location:
  • Phone: 951-737-4343
  • Fax: 951-736-4861
Mailing address:
  • Phone: 909-525-6924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberN7960
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberN7960
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA114575
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: