Healthcare Provider Details

I. General information

NPI: 1477510410
Provider Name (Legal Business Name): ELIZABETH PATTERSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 10/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306 MARICOPA HIGHWAY
OJAI CA
93023
US

IV. Provider business mailing address

PO BOX 11980
WESTMINSTER CA
92685-1980
US

V. Phone/Fax

Practice location:
  • Phone: 805-646-1401
  • Fax:
Mailing address:
  • Phone: 877-344-0508
  • Fax: 562-468-0347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberG42349
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: