Healthcare Provider Details

I. General information

NPI: 1831004894
Provider Name (Legal Business Name): PATAKI GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 S BUNDY DR
LOS ANGELES CA
90025-2603
US

IV. Provider business mailing address

8536 MCCONNELL AVE
LOS ANGELES CA
90045-2726
US

V. Phone/Fax

Practice location:
  • Phone: 626-738-5637
  • Fax:
Mailing address:
  • Phone: 626-738-5637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ISTVAN PATAKI
Title or Position: OWNER
Credential:
Phone: 626-738-5637