Basic Information
| Provider Information | |||||||||
| NPI: | 1457617714 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | AKHIL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 450 FOLSOM ST APT 1005 | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941053365 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8133519474 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 21081 S WESTERN AVE STE 150 | ||||||||
| Address2: | |||||||||
| City: | TORRANCE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 905011707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8669446046 | ||||||||
| FaxNumber: | 3102126230 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2012 | ||||||||
| LastUpdateDate: | 03/02/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/02/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | ME122189 | FL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | A162444 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.