Individual
AMISH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2876 SYCAMORE DR STE 203, SIMI VALLEY, CA 93065-1550
(805) 497-0961
Mailing address
1919 SEASONS ST, SIMI VALLEY, CA 93065-0580
(805) 297-5624
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95032011
CA
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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