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Individual

BINOY GOVINDBHAI PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.M.S.P.T., O.C.S.

Contact information

Practice address
29798 HAUN RD STE 201, MENIFEE, CA 92586
(951) 679-8500
(951) 679-8522
Mailing address
45509 BIRCH CT, TEMECULA, CA 92592-6816
(760) 271-0548

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
34612
CA
2251X0800X
Orthopedic Physical Therapist
34612
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0PT346120
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
04/23/2008
Last updated
08/16/2018
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