Organization
MAYFLOWER MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH PATEL M.D. (PRESIDENT)
(626) 338-3553
Entity
Organization
Contact information
Practice address
1433 W MERCED AVE, #216, WEST COVINA, CA 91790-3402
(626) 388-3553
(626) 338-5432
Mailing address
1433 W MERCED AVE, #216, WEST COVINA, CA 91790-3402
(626) 338-3553
(626) 338-5432
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A34471
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A34471
MEDICAL LICENSE
CA
Enumeration date
09/07/2006
Last updated
08/22/2020
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