Basic Information
| Provider Information | |||||||||
| NPI: | 1598716011 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATIL | ||||||||
| FirstName: | ARUNA | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 5333 | ||||||||
| Address2: | |||||||||
| City: | TORRANCE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 905105333 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3103292469 | ||||||||
| FaxNumber: | 3103290176 | ||||||||
| Practice Location | |||||||||
| Address1: | 1225 W 190TH ST | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | GARDENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902484320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3103292469 | ||||||||
| FaxNumber: | 3103290176 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | C42739 | CA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.