Provider Demographics
NPI:1326084559
Name:PATEL, NEHA (DC)
Entity Type:Individual
Prefix:MISS
First Name:NEHA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17410
Mailing Address - Street 2:DRAKE ST
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-1883
Mailing Address - Country:US
Mailing Address - Phone:562-697-3700
Mailing Address - Fax:562-296-9718
Practice Address - Street 1:17410
Practice Address - Street 2:DRAKE
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-1883
Practice Address - Country:US
Practice Address - Phone:562-697-3700
Practice Address - Fax:562-296-9718
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27837111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWDC27837AMedicare ID - Type UnspecifiedMEDICARE PROVIDER