Individual
PRIYA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3975 JACKSON ST, RIVERSIDE, CA 92503-3901
(951) 352-2092
Mailing address
6494 VIA DEL PRADO, CHINO HILLS, CA 91709-3900
(909) 786-8719
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
95106718
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95014920
CA
Other
Enumeration date
04/21/2020
Last updated
07/14/2020
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