Healthcare Provider Details
I. General information
NPI: 1750885141
Provider Name (Legal Business Name): NEILESH PARIKH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/20/2018
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 THE CITY DR S
ORANGE CA
92868-3201
US
IV. Provider business mailing address
3800 W CHAPMAN AVE STE 6200
ORANGE CA
92868-1640
US
V. Phone/Fax
- Phone: 714-456-7890
- Fax:
- Phone: 714-456-7890
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | A209444 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: