Healthcare Provider Details

I. General information

NPI: 1700742327
Provider Name (Legal Business Name): NEETI PARIKH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 W STEWART DR STE 607
ORANGE CA
92868-3857
US

IV. Provider business mailing address

1815 S WESTSIDE DR UNIT 4028
ANAHEIM CA
92805-8657
US

V. Phone/Fax

Practice location:
  • Phone: 714-919-8141
  • Fax:
Mailing address:
  • Phone: 586-804-3961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number68021
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: