Organization
REEKESHRPATELMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REEKESH PATEL (PRESIDENT)
(909) 965-2953
Entity
Organization
Contact information
Practice address
720 W EL MOLINO ST, BLOOMINGTON, CA 92316-2151
(909) 965-2953
Mailing address
720 W EL MOLINO ST, BLOOMINGTON, CA 92316-2151
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
A126035
CA
Other
Enumeration date
08/16/2014
Last updated
08/16/2014
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