Organization
NEW SOCAL MEDICAL GROUP PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARSHAN PATEL MD (CO OWNER)
(951) 540-6610
Entity
Organization
Contact information
Practice address
371 N SAN JACINTO ST STE A, HEMET, CA 92543-3105
(469) 277-2184
Mailing address
15972 TUSCOLA RD STE 101, APPLE VALLEY, CA 92307-2106
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
Other
Enumeration date
03/29/2024
Last updated
09/30/2024
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