Healthcare Provider Details

I. General information

NPI: 1134459159
Provider Name (Legal Business Name): SAPANA M PATEL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2010
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27800 MEDICAL CENTER RD STE 99
MISSION VIEJO CA
92691-6499
US

IV. Provider business mailing address

16252 HOWLAND LN
HUNTINGTON BEACH CA
92647-4010
US

V. Phone/Fax

Practice location:
  • Phone: 949-364-0122
  • Fax:
Mailing address:
  • Phone: 801-696-7211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS017611
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH84509
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: