Individual
DR. GNYANDEV PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 E SOUTH ST, SUITE # 206, LAKEWOOD, CA 90805-4549
(562) 232-2378
(562) 232-2379
Mailing address
PO BOX 189, BELLFLOWER, CA 90707-0189
(562) 232-2378
(562) 232-2379
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A618690
CA
207R00000X
Internal Medicine Physician
75839
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A618690
B/C PROVIDER NO.
CA
01
—
200059993
E.I.N NO.
CA
01
—
A618690
STATE LICENSE NO.
CA
Enumeration date
05/10/2006
Last updated
02/02/2026
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