Basic Information
| Provider Information | |||||||||
| NPI: | 1356549794 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | NABILA | ||||||||
| MiddleName: | NADEEM | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 1240 N MISSION RD | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900331019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3232263691 | ||||||||
| FaxNumber: | 3232265692 | ||||||||
| Practice Location | |||||||||
| Address1: | 1240 N MISSION RD | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900331019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3232263691 | ||||||||
| FaxNumber: | 3232265692 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC2000X | A062111 | CA | Y | Hospitals | General Acute Care Hospital | Children |
No ID Information.