Organization
HIMADRI M. PATEL, DO A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIMADRI M PATEL DO (PRESIDENT)
(818) 775-9301
Entity
Organization
Contact information
Practice address
18350 ROSCOE BLVD, SUITE 604, NORTHRIDGE, CA 91325-4109
(818) 775-9301
Mailing address
18350 ROSCOE BLVD, SUITE 604, NORTHRIDGE, CA 91325-4109
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20A7494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX74940
—
CA
Enumeration date
06/04/2007
Last updated
08/22/2020
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