Provider Demographics
NPI:1528254240
Name:FERNANDEZ, PATRICIA LITONJUA SANTA MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:LITONJUA SANTA MARIA
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:SANTA MARIA
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:16420 PERRIS BLVD
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92551-1135
Mailing Address - Country:US
Mailing Address - Phone:951-571-2450
Mailing Address - Fax:
Practice Address - Street 1:59 S MILLIKEN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-7811
Practice Address - Country:US
Practice Address - Phone:909-605-8888
Practice Address - Fax:909-605-8855
Is Sole Proprietor?:No
Enumeration Date:2007-09-17
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA673362083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine