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Individual

DR. VIVEK R PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
850 HEALTH SCIENCES RD, IRVINE, CA 92617-3058
(949) 824-2020
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A96366
CA
207WX0109X
Neuro-ophthalmology Physician
Primary
A96366
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A96366
STATE LICENSE
CA
Enumeration date
10/17/2006
Last updated
01/23/2025
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