Provider Demographics
NPI:1932308285
Name:PATEL, SEJAL M (MD)
Entity Type:Individual
Prefix:DR
First Name:SEJAL
Middle Name:M
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 S SPRING
Mailing Address - Street 2:STE 1201
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90013-1667
Mailing Address - Country:US
Mailing Address - Phone:424-652-8801
Mailing Address - Fax:
Practice Address - Street 1:17900 VON KARMAN AVE
Practice Address - Street 2:STE 150
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-4296
Practice Address - Country:US
Practice Address - Phone:424-652-8801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238984208600000X
CAA104427208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery