Individual
CARISSA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
957 INDUSTRIAL RD STE B, SAN CARLOS, CA 94070
(650) 445-2746
Mailing address
200 PINE AVE STE 400, LONG BEACH, CA 90802-3039
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
08/16/2018
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