Provider Demographics
NPI:1346350709
Name:PATTERSON, PATRICK NEAL (DC)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:NEAL
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6820 LA TIJERA BLVD
Mailing Address - Street 2:STE 117
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045
Mailing Address - Country:US
Mailing Address - Phone:310-568-8324
Mailing Address - Fax:310-568-1449
Practice Address - Street 1:6820 LA TIJERA BLVD
Practice Address - Street 2:STE 117
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045
Practice Address - Country:US
Practice Address - Phone:310-568-8324
Practice Address - Fax:310-568-1449
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC19666111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC19666Medicare ID - Type Unspecified