Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | A100702 | CA |
NPI | 1508081530 |
---|---|
Provider Name | Dr. Sameer A Patel |
First Address | Montrose, CA 91021 |
Second Address | Glendale, CA 91208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 22/12/2011 |