Healthcare Provider Details

I. General information

NPI: 1972787307
Provider Name (Legal Business Name): MRS. SATFARAZ F PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2007
Last Update Date: 12/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1688 N PERRIS BLVD
PERRIS CA
92571-4709
US

IV. Provider business mailing address

1257 MOONSTONE ST
HEMET CA
92543-7859
US

V. Phone/Fax

Practice location:
  • Phone: 951-443-2200
  • Fax:
Mailing address:
  • Phone: 951-766-5709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: