Individual
AMI JINESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335
(909) 427-7242
(909) 427-4620
Mailing address
204 SAINT CATHERINE ST, REDLANDS, CA 92374-8245
(909) 794-3735
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011008
NY
363A00000X
Physician Assistant
50.002867
OH
363A00000X
Physician Assistant
Primary
PA19824
CA
Other
Enumeration date
08/05/2011
Last updated
12/14/2021
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