Selwyn J Patrick in Costa Mesa - Specialist
Selwyn J Patrick - NPI 1194852723
Selwyn J Patrick is a Specialist in Costa Mesa, California. Selwyn J Patrick practices all healthcare services and medical treatments related to Specialist. The NPI Number for Selwyn J Patrick is 1194852723. The last update date is 2007-07-08.
Selwyn J Patrick's current location address is 1520 Nutmeg Pl, Costa Mesa, California. You can contact this provider via phone number 7147518110 and fax number 7149180322. The mailing address for Selwyn J Patrick is 1520 Nutmeg Pl, Costa Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Selwyn J Patrick |
|---|---|
| Address | 1520 Nutmeg Pl, Costa Mesa, California |
| Phone Number | 7147518110 |
| Fax Number | 7149180322 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1194852723 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1520 Nutmeg Pl |
|---|---|
| City | Costa Mesa |
| State | California (CA) |
| Post Code | 926262501 |
| Phone Number | 7147518110 |
| Fax Number | 7149180322 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A43354 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11635752 | CA | CAQH |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Selwyn J Patrick by the Centers for Medicare & Medicaid Services?
The Selwyn J Patrick has been assigned the NPI (National Provider Identifier) 1194852723 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Selwyn J Patrick is physically located?
The Selwyn J Patrick is physically situated at the following address: 1520 Nutmeg Pl, Costa Mesa, CA, 926262501.
What is the area of specialization for Selwyn J Patrick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Selwyn J Patrick is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Selwyn J Patrick receive the assignment of its 1194852723 from the Centers for Medicare & Medicaid Services?
The Selwyn J Patrick was issued its 1194852723 by the Centers for Medicare & Medicaid Services on 2007-02-28.
When was the information related to Selwyn J Patrick most recently updated or refreshed?
The details pertaining to the Selwyn J Patrick, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.