Individual
AMITA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
11900 SOUTH ST, ST 121, CERRITOS, CA 90703-6847
(562) 809-4041
Mailing address
11900 SOUTH ST, ST 121, CERRITOS, CA 90703
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 13974 TLG
CA
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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