Provider Demographics
NPI:1245356757
Name:PUSATERI, TONI LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:TONI
Middle Name:LYNN
Last Name:PUSATERI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:275 S MADERA AVE STE 404
Mailing Address - Street 2:
Mailing Address - City:KERMAN
Mailing Address - State:CA
Mailing Address - Zip Code:93630-1401
Mailing Address - Country:US
Mailing Address - Phone:855-343-1057
Mailing Address - Fax:844-587-6408
Practice Address - Street 1:275 S MADERA AVE STE 404
Practice Address - Street 2:
Practice Address - City:KERMAN
Practice Address - State:CA
Practice Address - Zip Code:93630-1401
Practice Address - Country:US
Practice Address - Phone:844-343-1057
Practice Address - Fax:844-587-6408
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA992202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry