Basic Information
| Provider Information | |||||||||
| NPI: | 1861699035 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | SWATI | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | D.P.T | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 NEWPORT CENTER DR | ||||||||
| Address2: | |||||||||
| City: | NEWPORT BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928213921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3109404779 | ||||||||
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| Practice Location | |||||||||
| Address1: | 471 W LAMBERT RD | ||||||||
| Address2: | STE 106 | ||||||||
| City: | BREA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928213921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7142558877 | ||||||||
| FaxNumber: | 7142558878 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2007 | ||||||||
| LastUpdateDate: | 11/21/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 25742 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.