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General NPI Number Information
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NPI Number | 1427155662
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Entity Type | Organization
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Legal Business Name | SOCAL FAMILY EYE CARE, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 3650 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90807-3418
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Country | US
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Telephone | 562-988-2020
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Fax | 562-426-7394
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Provider Business Mailing Address
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Address Line | 3650 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90807-3418
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Country | US
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Telephone | 562-988-2020
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Fax | 562-426-7394
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Authorized Official
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Title or Position | PHYSICIAN
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Name | HARSHAD P PATEL
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Credential | MD
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Telephone | 562-988-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G54415
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License Number State | CA
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