Healthcare Provider Details

I. General information

NPI: 1326493438
Provider Name (Legal Business Name): VISHAL PATEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2016
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3828 SCHAUFELE AVE STE 250
LONG BEACH CA
90808-0016
US

IV. Provider business mailing address

3828 SCHAUFELE AVE STE 250
LONG BEACH CA
90808-0016
US

V. Phone/Fax

Practice location:
  • Phone: 657-241-8990
  • Fax: 714-665-4664
Mailing address:
  • Phone: 657-241-8990
  • Fax: 714-665-4664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA158030
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: