Provider Demographics
NPI:1558473413
Name:DONLEY, PATRICK JOHN (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:JOHN
Last Name:DONLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 60790
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91116-6790
Mailing Address - Country:US
Mailing Address - Phone:626-795-6596
Mailing Address - Fax:626-795-8247
Practice Address - Street 1:3330 LOMITA BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5002
Practice Address - Country:US
Practice Address - Phone:310-325-9110
Practice Address - Fax:310-784-8777
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2014-04-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG64925207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F23013Medicare UPIN