Provider Demographics
NPI:1285962985
Name:TOOGOOD, COURTNEY PAIGE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:PAIGE
Last Name:TOOGOOD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:4180 CRESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92530-6900
Mailing Address - Country:US
Mailing Address - Phone:951-678-3079
Mailing Address - Fax:951-678-7770
Practice Address - Street 1:4180 CRESTVIEW DR
Practice Address - Street 2:
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92530-6900
Practice Address - Country:US
Practice Address - Phone:951-678-3079
Practice Address - Fax:951-678-7770
Is Sole Proprietor?:No
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA20522363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant