Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G67857 | CA |
NPI | 1013992197 |
---|---|
Provider Name | Dr. Lee Patrick Tocchi |
First Address | Yuba City, CA 95991-4113 |
Second Address | Yuba City, CA 95991-4113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2005 |
Last Update Date | 18/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G678570 | BLUE SHIELD PIN # (01) | CA |
1013992197 | (05) | CA |
T14381 | (02) | CA |
ZZZ93929Z | MEDICARE ID, UNSPECIFIED (01) | CA |