Individual
POONUM PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1025 S ANAHEIM BLVD, ANAHEIM, CA 92805-5806
(714) 533-6220
Mailing address
4945 FAIRWOOD CIR, YORBA LINDA, CA 92887-2814
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95212832
CA
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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