Healthcare Provider Details

I. General information

NPI: 1467377986
Provider Name (Legal Business Name): TONIUS LOUIE-UBE PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 LARCHWOOD DR
SACRAMENTO CA
95834-2212
US

IV. Provider business mailing address

PO BOX 582703
ELK GROVE CA
95758-0046
US

V. Phone/Fax

Practice location:
  • Phone: 916-566-3460
  • Fax:
Mailing address:
  • Phone: 916-566-3460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2600065643
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: