Individual ProviderRaj J PatelEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address9300 Campus Point Dr, La Jolla, CA 92037(858) 657-7000(888) 486-4380PECOS EnrollmentThis provider is enrolled in PECOS as RAJ PATEL.Based on the most recent information from CMS, provider Raj J Patel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1366486243Provider TypeIndividualFull NamePatel, Raj JCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/15/2006Last Updated3/3/2008Contact InformationPractice LocationPractice Address9300 Campus Point Dr, La Jolla, CA 92037Phone(858) 657-7000FaxUnlisted FaxMailing LocationMailing Address7077 Crystalline Dr., Carlsbad, CA 92011Phone(888) 486-4380FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseA81561CaliforniaProvider IdentifiersIDDescriptionIssuerID00A815610DescriptionMedicaidIssuerUnlistedCalifornia