Healthcare Provider Details

I. General information

NPI: 1992851471
Provider Name (Legal Business Name): PATRICK MEEHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46805 DUNE PALMS RD
LA QUINTA CA
92253-2009
US

IV. Provider business mailing address

46805 DUNE PALMS RD
LA QUINTA CA
92253-2009
US

V. Phone/Fax

Practice location:
  • Phone: 760-502-1090
  • Fax: 760-341-6949
Mailing address:
  • Phone: 760-502-1090
  • Fax: 760-341-6949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG51208
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: