Healthcare Provider Details

I. General information

NPI: 1750919759
Provider Name (Legal Business Name): BHAVIK HARISHCHANDRA PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 WARNER AVE STE 140
FOUNTAIN VALLEY CA
92708-3209
US

IV. Provider business mailing address

8700 WARNER AVE STE 140
FOUNTAIN VALLEY CA
92708-3209
US

V. Phone/Fax

Practice location:
  • Phone: 714-850-7300
  • Fax: 714-850-7310
Mailing address:
  • Phone: 714-850-7300
  • Fax: 714-850-7310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberA208646
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: