Healthcare Provider Details

I. General information

NPI: 1316752991
Provider Name (Legal Business Name): FALGUNI PATEL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4902 IRVINE CENTER DR STE 105
IRVINE CA
92604-3334
US

IV. Provider business mailing address

4902 IRVINE CENTER DR STE 105
IRVINE CA
92604-3334
US

V. Phone/Fax

Practice location:
  • Phone: 949-407-8785
  • Fax:
Mailing address:
  • Phone: 949-407-8785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number545506
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: