Organization
LEISURE WORLD MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANATKUMAR PATEL MD (SHAREHOLDER)
(562) 281-1245
Entity
Organization
Contact information
Practice address
1661 GOLDEN RAIN RD, SEAL BEACH, CA 90740-4907
(562) 795-6300
(562) 795-6350
Mailing address
PO BOX 2685, SEAL BEACH, CA 90740-1685
(562) 795-6300
(562) 795-6350
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A43564
CA
Other
Enumeration date
07/03/2006
Last updated
07/09/2015
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