| Rajendra Patel Md Inc | |
|
13768 Roswell Ave Ste 219 Chino CA 91710-1401 | |
| (909) 364-1396 | |
| (909) 364-1843 |
| Full Name | Rajendra Patel Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13768 Roswell Ave, Chino, California |
| Authorized Official Name and Position | Rajendra B Patel (OWNER) |
| Authorized Official Contact | 9093641396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rajendra Patel Md Inc 13768 Roswell Ave Ste 219 Chino CA 91710-1401 Ph: (909) 364-1396 | Rajendra Patel Md Inc 13768 Roswell Ave Ste 219 Chino CA 91710-1401 Ph: (909) 364-1396 |
| NPI Number | 1508062456 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 06/16/2009 |
| Medicare PECOS PAC ID | 7214029024 |
|---|---|
| Medicare Enrollment ID | O20070824000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508062456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | A38354 (California) | Primary |
| Provider Name | Rajendra B Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245260181 PECOS PAC ID: 1052403862 Enrollment ID: I20070824000409 |
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