Most Relevant Information
Provider Data
| NPI Number: | 1003405952 |
| Provider Name: | KIRTY PATEL |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RPH83626 |
Most Important Dates
| Enumeration Date: | 01/14/2021 |
| Last Updated: | 01/14/2021 |
Provider Practice Location
6100 SEPULVEDA BLVD
VAN NUYS
CA
914112503
Practice Location Phone/Fax
| Phone: | 8189895132 |
| Fax: |
Provider Mailing Location
5122 MAPLEWOOD AVE APT 202
LOS ANGELES
CA
900046335
Provider Mailing Phone/Fax
| Phone: | 4047025717 |
| Fax: |