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Organization

SOCAL FAMILY EYE CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HARSHAD P PATEL MD (PHYSICIAN)
(562) 988-2020
Entity
Organization

Contact information

Practice address
3650 ATLANTIC AVE, LONG BEACH, CA 90807-3418
(562) 988-2020
(562) 426-7394
Mailing address
3650 ATLANTIC AVE, LONG BEACH, CA 90807-3418
(562) 988-2020
(562) 426-7394

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G54415
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A657290
MEDI-CAL RENDERING PHYSIC
CA
01
00G544150
MEDI-CAL RENDERING PHYSIC
CA
01
6008531
MEDI-CAL UPIN NUMBER
CA
01
GR0082390
MEDI-CAL GROUP NUMBER
CA
Enumeration date
09/20/2006
Last updated
03/14/2024
Update your record

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