# ADVANTMED PROVIDER NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710409719
- **Authorized official:** RISHI KIRIT PATEL (PRESIDENT)
- **Authorized official phone:** (877) 896-7350

## Contact information

- **Practice address:** 17981 SKY PARK CIR BLDG 39, IRVINE, CA 92614-6309
- **Practice address phone:** (877) 896-7350
- **Mailing address:** 17981 SKY PARK CIR BLDG 39, IRVINE, CA 92614-6309
- **Mailing address phone:** (877) 896-7350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2017
- **Last updated:** 10/09/2025
