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Selwyn J Patrick, MD
Specialist in Costa Mesa, California
NPI 1194852723

Selwyn J Patrick is a Specialist based in Costa Mesa, CA. Selwyn J Patrick practices in Costa Mesa, CA and has the professional credentials of MD. The NPI Number for Selwyn J Patrick is 1194852723 and holds a License No. A43354 (California).

The current practice location address for Selwyn J Patrick is 1520 Nutmeg Pl, Costa Mesa, CA and can be reached out via phone at 714-751-8110 and via fax at 714-918-0322.

Location: 1520 Nutmeg Pl, Costa Mesa, CA, 92626-2501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194852723
Provider Name
Selwyn J Patrick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1520 Nutmeg Pl, Costa Mesa, CA, 92626-2501
Phone Number
714-751-8110
Fax Number
714-918-0322
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11635752 01 CA CAQH
institution
Provider Business Practice Location Address Details
Address
1520 Nutmeg Pl
City
Costa Mesa
State
California
Zip
92626-2501
Phone Number
714-751-8110
Fax Number
714-918-0322
person
Provider Business Mailing Address Details
Address
1520 Nutmeg Pl
City
Costa Mesa
State
California
Zip
92626-2501
Phone Number
714-751-8110
Fax Number
714-918-0322
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A43354 (California)
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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