MEDICARE: TRISHABEN C PATEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208VP0014X	Interventional Pain Medicine Physician	A125677	CA

General Provider Information

NPI Number	:	1588955835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRISHABEN C PATEL MD

Provider Business Mailing Address
First Line	:	5475 E LA PALMA AVE
Second Line	:	STE 202
City	:	ANAHEIM
State	:	CA
Zip	:	92807-2022
Country	:	US
Telephone Number	:	949-396-0501
Fax Number	:	714-829-3404

Provider Business Practice Location Address
First Line	:	5475 E LA PALMA AVE
Second Line	:	STE 202
City	:	ANAHEIM
State	:	CA
Zip	:	92807-2022
Country	:	US
Telephone Number	:	949-396-0501
Fax Number	:	714-829-3404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2011
Last Update Date	:	08/28/2024

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Directions to “ TRISHABEN C PATEL MD” Practice Location

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