| Neelam Patel, | |
|
15625 Imperial Hwy, La Mirada, CA 90638-1627 | |
| (562) 902-3000 | |
| (562) 943-9593 |
| Full Name | Neelam Patel |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 15625 Imperial Hwy, La Mirada, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629788302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (California) | Primary |
| Entity Name | Sunny Hills Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750008017 PECOS PAC ID: 5294105938 Enrollment ID: O20221221001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Neelam Patel, 15625 Imperial Hwy, La Mirada, CA 90638-1627 Ph: Not Available | Neelam Patel, 15625 Imperial Hwy, La Mirada, CA 90638-1627 Ph: (562) 902-3000 |
Jamie Kehaulani Humphries Widger, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 15625 Imperial Hwy, La Mirada, CA 90638 Phone: 562-902-3000 Fax: 562-902-9593 |
Joseph Nunokawa, Physician Assistant Medicare: Medicare Enrolled Practice Location: 16000 Grayville Dr Unit 65, La Mirada, CA 90638 Phone: 714-345-6693 |
Ms. Mary V Jennings, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11767 Gayview Drive, La Mirada, CA 90638 Phone: 562-944-6767 |
Chantal Richere Lherault, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13134 La Jolla Cir Unit B, La Mirada, CA 90638 Phone: 562-857-7004 |