Organization Name: | KINNARY PATEL |
NPI Number: | 1205028990 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KINNARY RAJENDRA PATEL (OWNER) |
Mailing Address: | 10 Ranunculus St Ladera Ranch |
State: | CA US |
Postal Code: | 926940620 |
Phone Number: | 9492180570 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2007 |
NPI Last Update Date: | 06/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT19136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |