Individual
CALVIN PURUSHOTTAM PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3865 JACKSON ST, STE. 106-526, RIVERSIDE, CA 92503-3919
(951) 688-2211
Mailing address
12223 HIGHLAND AVE 106-526, RANCHO CUCAMONGA, CA 91739-2574
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A132345
CA
208M00000X
Hospitalist Physician
A132345
CA
Other
Enumeration date
09/24/2014
Last updated
04/11/2019
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