Patrick E. Phelan, MD

Pediatrics Physician · Indio, CA

Individual Active NPI

NPI number 1083771398

Practice location

82934 Civic Center Dr
Indio, CA 92201-4308
Phone
(442) 666-5076

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NPI record

NPI
1083771398
Entity type
Individual (Type 1)
Enumeration date
January 3, 2007
Last updated
December 1, 2022
Certified
November 29, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X C173151 CA
Pediatrics Physician 208000000X 036-095191 IL
Pediatrics Physician 208000000X 86455 GA

Mailing address

11175 Campus St # a-1111
Loma Linda, CA 92350-1700
Phone
(909) 558-8142

Other practice locations (1)

  • 2000 Lake Ave, Woodstock, IL 60098-7401 · (815) 337-7100

About Dr. Phelan

Patrick E. Phelan, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 82934 Civic Center Dr, Indio, CA 92201-4308. The NPI number 1083771398 was assigned on January 3, 2007 and the record was last updated on December 1, 2022.

Dr. Phelan lists 3 licenses in the registry: #C173151 (CA) for Pediatrics Physician; #036-095191 (IL) for Pediatrics Physician; #86455 (GA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Patrick E. Phelan, MD?

The NPI number is 1083771398.

What is the phone number of Dr. Phelan?

The phone number listed for the practice location is (442) 666-5076.

Where is Dr. Phelan located?

82934 Civic Center Dr, Indio, CA 92201-4308.

What is the taxonomy code for Dr. Phelan?

The primary taxonomy code is 208000000X – Pediatrics Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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