Individual
MANDIRA MANOJ PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
21634 RETREAT PKWY, TEMESCAL VALLEY, CA 92883-6100
(951) 493-6905
(951) 826-8120
Mailing address
21634 RETREAT PKWY, CORONA, CA 92883-6100
(951) 493-6905
(951) 826-8120
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
16797
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2017
Last updated
04/14/2025
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