Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A147993 | CA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | A147993 | CA |
NPI | 1134477565 |
---|---|
Provider Name | Dr. Pranay Patel |
First Address | Torrance, CA 90510-3129 |
Second Address | Manhattan Beach, CA 90266-2470 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2012 |
Last Update Date | 17/11/2020 |