MEDICARE: DR. SONA PATEL M.D.

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	207Q00000X	Family Medicine Physician	A88229	CA

General Provider Information

NPI Number	:	1659423408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SONA PATEL M.D.

Provider Business Mailing Address
First Line	:	123 S FIGUEROA ST
Second Line	:	APT #243
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-2469
Country	:	US
Telephone Number	:	909-996-8445
Fax Number	:

Provider Business Practice Location Address
First Line	:	5419 W SUNSET BLVD STE 220
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5613
Country	:	US
Telephone Number	:	909-996-8445
Fax Number	:

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

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	07/08/2007

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