Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A111753 | CA |
N | 111NI0900X | Internist | A111753 | CA |
Y | 207T00000X | Neurosurgeon | A111753 | CA |
NPI | 1053573519 |
---|---|
Provider Name | Hitesh K. Patel |
First Address | San Clemente, CA 92673-2855 |
Second Address | San Clemente, CA 92673-2855 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 02/11/2021 |