Provider Demographics
NPI:1750676227
Name:TO, PATRICIA L (MD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:L
Last Name:TO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2511 LAGUNA BLVD # MS 217FIT
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-7421
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2511 LAGUNA BLVD # MS 217FIT
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7421
Practice Address - Country:US
Practice Address - Phone:916-399-5261
Practice Address - Fax:916-307-6973
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2018-03-27
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Provider Licenses
StateLicense IDTaxonomies
CAA123019207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine