Individual
TINA INDRAVADAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1985 ZONAL AVE, LOS ANGELES, CA 90089-5305
(909) 576-7104
Mailing address
19848 SUNSET VISTA RD, WALNUT, CA 91789-5328
(909) 576-7104
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
67412
CA
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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