Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | A126035 | CA |
NPI | 1043446982 |
---|---|
Provider Name | Reekesh R Patel |
First Address | Los Angeles, CA 90025-8979 |
Second Address | Hawthorne, CA 90250-2260 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2009 |
Last Update Date | 05/03/2021 |