IndividualActive
Manish Patel, MD
NPI 1356400097 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Fontana, CA
Provider details
- NPI number
- 1356400097
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A80516 (CA)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense A80516 (CA)
Allopathic & Osteopathic Physicians
Practice location
9961 Sierra Ave
Fontana, CA 92335-6720
Phone: (909) 427-3910
Approximate (ZIP-level) locationGet directions
Mailing address
9961 Sierra Ave
Fontana, CA 92335-6720
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2021-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.