Organization
YOGENDRA B PATEL,MD,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSIE LARA (SECRETARY)
(951) 924-9300
Entity
Organization
Contact information
Practice address
12980 FREDERICK ST, SUITE J, MORENO VALLEY, CA 92553-5263
(951) 924-9300
(951) 485-0240
Mailing address
12980 FREDERICK ST, SUITE J, MORENO VALLEY, CA 92553-5263
(951) 924-9300
(951) 485-0240
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A40908
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A409080
—
CA
01
—
1386706240
INDIVIDUAL EXISTING NPI
CA
Enumeration date
11/21/2011
Last updated
11/21/2011
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