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NPI Code Detail

MEDICARE: JAGDISH M. PATEL MD

MEDICARE: JAGDISH M. 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
12085R0202XDiagnostic Radiology PhysicianA32536CA

General Provider Information

NPI Number : 1891777272
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAGDISH M. PATEL MD
Provider Business Mailing Address
First Line : PO BOX 511228
Second Line :
City : LOS ANGELES
State : CA
Zip : 90051-3026
Country : US
Telephone Number : 949-263-8620
Fax Number : 800-409-7005
Provider Business Practice Location Address
First Line : 12401 WASHINGTON BLVD
Second Line :
City : WHITTIER
State : CA
Zip : 90602-1006
Country : US
Telephone Number : 562-698-0811
Fax Number : 562-306-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2005
Last Update Date : 06/26/2013

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