| Ketan M Patel, MD | |
|
5411 Etiwanda Ave Ste 200, Tarzana, CA 91356-3648 | |
| (310) 423-2129 | |
| (310) 423-4145 |
| Full Name | Ketan M Patel |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 18 Years |
| Location | 5411 Etiwanda Ave Ste 200, Tarzana, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033344817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | MD040884 (District Of Columbia) | Secondary |
| 208200000X | Plastic Surgery | A132442 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cedars-sinai Medical Center | Los angeles, CA | Hospital |
| Providence Tarzana Medical Center | Tarzana, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cedars-sinai Medical Center | 0446169114 | 696 |
| Cedars-sinai Medical Care Foundation | 0941106645 | 1451 |
| Entity Name | Cedars-sinai Medical Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316984388 PECOS PAC ID: 0941106645 Enrollment ID: O20040202000464 |
| Entity Name | Cedars-sinai Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639172372 PECOS PAC ID: 0446169114 Enrollment ID: O20040204000886 |
| Entity Name | Usc Care Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Ketan M Patel, MD 4140 W 190th St, Torrance, CA 90504-5513 Ph: () - | Ketan M Patel, MD 5411 Etiwanda Ave Ste 200, Tarzana, CA 91356-3648 Ph: (310) 423-2129 |
Jacob Saleh, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 18370 Burbank Blvd, Suite 714, Tarzana, CA 91356 Phone: 818-996-6100 Fax: 818-668-8323 | |
Avron Daniller, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 18411 Clark St, Suite 105, Tarzana, CA 91356 Phone: 818-345-3338 Fax: 818-345-3363 |