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Organization
SHIRISH B. PATEL M.D. INC
Active
Organization
SHIRISH B. PATEL M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA VILLA (ASSOCIATE DIRECTOR OF PRACTICE MNGT)
(562) 925-7401
Entity
Organization
Contact information
Practice address
3650 SOUTH ST STE 106, LAKEWOOD, CA 90712-1532
(562) 925-7401
(310) 554-4045
Mailing address
3650 E. SOUTH ST STE 106, SUITE 106, LAKEWOOD, CA 90712-1532
(562) 925-7401
(310) 554-4045
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A40789
CA
Other
Enumeration date
09/02/2010
Last updated
03/27/2025
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