Provider Demographics
NPI:1588845499
Name:LOERA, PATRICIA ELINDA
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ELINDA
Last Name:LOERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:ELINDA
Other - Last Name:LOWER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2070 TALBERT DR
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-7679
Mailing Address - Country:US
Mailing Address - Phone:530-893-0391
Mailing Address - Fax:530-893-4075
Practice Address - Street 1:902 6TH ST
Practice Address - Street 2:
Practice Address - City:ORLAND
Practice Address - State:CA
Practice Address - Zip Code:95963-1631
Practice Address - Country:US
Practice Address - Phone:530-865-1693
Practice Address - Fax:530-865-1696
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator