| Reena R Patel Md Inc | |
|
1108 Fremont Ave South Pasadena CA 91030-3227 | |
| (626) 765-7852 | |
| (626) 606-3952 |
| Full Name | Reena R Patel Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1108 Fremont Ave, South Pasadena, California |
| Authorized Official Name and Position | Reena R Patel (FAMILY MEDICINE/OWNER) |
| Authorized Official Contact | 9099915072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reena R Patel Md Inc 720 W El Molino St Bloomington CA 92316-2151 Ph: (909) 991-5072 | Reena R Patel Md Inc 1108 Fremont Ave South Pasadena CA 91030-3227 Ph: (626) 765-7852 |
| NPI Number | 1063824183 |
|---|---|
| Provider Enumeration Date | 05/22/2014 |
| Last Update Date | 05/22/2014 |
| Medicare PECOS PAC ID | 8820216724 |
|---|---|
| Medicare Enrollment ID | O20140918000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063824183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A109224 (California) | Primary |
| Provider Name | Reena R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194958256 PECOS PAC ID: 4981891421 Enrollment ID: I20101209000166 |
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