Individual
MRS. MANISHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1601 MONTE VISTA AVE STE 100, CLAREMONT, CA 91711-6601
(909) 630-7938
(909) 469-2118
Mailing address
1601 MONTE VISTA AVE STE 100, CLAREMONT, CA 91711-6601
(909) 630-7938
(909) 469-2118
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
20690
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639407224
—
CA
01
—
EK392Y NORTH
PTAN
CA
01
—
EK392Z SOUTHERN
PTAN
CA
Enumeration date
11/19/2009
Last updated
02/25/2026
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