Individual
DIVYA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-2122
Mailing address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A185594
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
—
Enumeration date
04/09/2020
Last updated
06/26/2024
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