Provider Demographics
NPI:1013992197
Name:TOCCHI, LEE PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:PATRICK
Last Name:TOCCHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 DEL NORTE AVE
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4113
Mailing Address - Country:US
Mailing Address - Phone:530-443-2759
Mailing Address - Fax:530-923-2813
Practice Address - Street 1:435 DEL NORTE AVE
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4113
Practice Address - Country:US
Practice Address - Phone:530-751-7201
Practice Address - Fax:530-751-2704
Is Sole Proprietor?:No
Enumeration Date:2005-12-12
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG67857207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G678570OtherBLUE SHIELD PIN #
CA1013992197Medicaid
CAZZZ93929ZOtherMEDICARE ID, UNSPECIFIED
CAZZZ93929ZOtherMEDICARE ID, UNSPECIFIED