Organization
NEW SOCAL MEDICAL GROUP PROFESSIONAL CORPORATION
Active
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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