Provider Demographics
NPI:1235935693
Name:PATEL, VIRAL (AMFT)
Entity type:Individual
Prefix:
First Name:VIRAL
Middle Name:
Last Name:PATEL
Suffix:
Gender:
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 WYCLIFFE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-1220
Mailing Address - Country:US
Mailing Address - Phone:562-280-3444
Mailing Address - Fax:
Practice Address - Street 1:2551 SAN RAMON VALLEY BLVD STE 252
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1664
Practice Address - Country:US
Practice Address - Phone:510-386-6659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA148179106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist