Healthcare Provider Details

I. General information

NPI: 1043399561
Provider Name (Legal Business Name): PARESH PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 11/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14350 WHITTIER BLVD SUITE 315
WHITTIER CA
90605-2138
US

IV. Provider business mailing address

14350 WHITTIER BLVD SUITE 315
WHITTIER CA
90605-2138
US

V. Phone/Fax

Practice location:
  • Phone: 562-945-2787
  • Fax: 562-945-7737
Mailing address:
  • Phone: 562-945-2787
  • Fax: 562-945-7737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA41512
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: