Individual
ESHANI GAUTAM PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
270 W 14TH ST, SAN PEDRO, CA 90731-4396
(310) 519-8723
Mailing address
270 W 14TH ST, SAN PEDRO, CA 90731-4396
(310) 519-8723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
64187
CA
Other
Enumeration date
09/25/2023
Last updated
05/27/2025
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