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
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