Individual
JAY PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 S MAIN ST, ORANGE, CA 92868-3852
(714) 634-4567
Mailing address
280 S MAIN ST, ORANGE, CA 92868-3852
(714) 634-4567
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A101467
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GJ689Z
PTAN
CA
Enumeration date
02/10/2011
Last updated
11/11/2016
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