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Contact Information

PAN PATEL
29851 AVETURA
STE J-1
RANCHO SANTA MARGARITA, CA92688
 Phone: 949-303-1053
 Fax: 949-326-0347
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PAN PATEL

NPI Number 1619316486
LBN Legal business name PAN PATEL
Authorized official PAN PATEL - (OWNER/PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2013
Last updated 02/01/2016 - About 10 years ago
Identifiers
CA License # PHY 51149
CA Medicaid 1619316486
Other 2143590 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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