Provider Demographics
NPI:1396409884
Name:PATEL, AMIT (PA-C)
Entity type:Individual
Prefix:
First Name:AMIT
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:888 S FIGUEROA ST STE 1050
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-5310
Mailing Address - Country:US
Mailing Address - Phone:213-319-3339
Mailing Address - Fax:213-408-4414
Practice Address - Street 1:888 S FIGUEROA ST STE 1050
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-5310
Practice Address - Country:US
Practice Address - Phone:213-319-3339
Practice Address - Fax:213-408-4414
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-29
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA60549363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant