Provider Demographics
NPI:1972679496
Name:TORIBIO, GERARDO SAUCO (MD)
Entity Type:Individual
Prefix:DR
First Name:GERARDO
Middle Name:SAUCO
Last Name:TORIBIO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1282 STABLER LN # 156
Mailing Address - Street 2:SUITE 630
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-2625
Mailing Address - Country:US
Mailing Address - Phone:530-458-0520
Mailing Address - Fax:530-458-8088
Practice Address - Street 1:162 E CARSON ST
Practice Address - Street 2:SUITE A
Practice Address - City:COLUSA
Practice Address - State:CA
Practice Address - Zip Code:95932-2866
Practice Address - Country:US
Practice Address - Phone:530-458-0520
Practice Address - Fax:530-458-8088
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA743902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG58747Medicare UPIN