Provider Demographics
NPI:1376756833
Name:TOBALINA, GINA (MD)
Entity Type:Individual
Prefix:DR
First Name:GINA
Middle Name:
Last Name:TOBALINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2545 E BIDWELL ST STE 110
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-6443
Mailing Address - Country:US
Mailing Address - Phone:916-817-4132
Mailing Address - Fax:916-817-4148
Practice Address - Street 1:2545 E BIDWELL ST STE 110
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-6443
Practice Address - Country:US
Practice Address - Phone:916-817-4132
Practice Address - Fax:916-817-4148
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA93320207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine