Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ricardo Antonio Patlan Jr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114690062

Ricardo Antonio Patlan Jr. is a Student in an Organized Health Care Education/Training Program in Gardena, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

18726 S Western Ave
Gardena, CA 90248-3813
Phone: (310) 856-0800
Fax: (855) 568-2494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114690062
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 27, 2021
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

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