Individual
MISS SHEENA PRAVIN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3151 AIRWAY AVE STE G1, COSTA MESA, CA 92626-4624
(714) 545-5550
(714) 708-2588
Mailing address
19782 MACARTHUR BLVD STE 300, IRVINE, CA 92612-2417
(714) 545-5550
(714) 708-2588
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA21163
CA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
PA21163
CA
Other
Enumeration date
07/18/2012
Last updated
04/30/2025
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