Provider Demographics
NPI:1275572109
Name:RIOLO, CATHERINE M (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:M
Last Name:RIOLO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 CADILLAC DR STE 170
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-5480
Mailing Address - Country:US
Mailing Address - Phone:916-664-3391
Mailing Address - Fax:
Practice Address - Street 1:77 CADILLAC DR STE 170
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-5480
Practice Address - Country:US
Practice Address - Phone:916-664-3391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG86379208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB78325Medicare UPIN
CA00G863792Medicare ID - Type Unspecified