MEDICARE: KALPAN PATEL RPH

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	183500000X	Pharmacist	69554	CA

General Provider Information

NPI Number	:	1932656709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALPAN PATEL RPH

Provider Business Mailing Address
First Line	:	18833 STONE CANYON LN
Second Line	:
City	:	CANYON COUNTRY
State	:	CA
Zip	:	91351-5026
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2233 LOMITA BLVD
Second Line	:
City	:	LOMITA
State	:	CA
Zip	:	90717-1401
Country	:	US
Telephone Number	:	888-631-6982
Fax Number	:

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

Provider Enumeration Date	:	09/08/2016
Last Update Date	:	09/08/2016

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Directions to “ KALPAN PATEL RPH” Practice Location

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