Fee-For-Service Psychiatrist
Point of Service in Santa Barbara, CA. Organization (NPI-2).
NPI number1023213832
StatusActive
Last updated in NPPESJul 30, 2008
Details
- NPI
- 1023213832
- Entity type
- Organization (NPI-2)
- Legal business name
- Fee-For-Service Psychiatrist
- Organization subpart
- No
- Enumeration date
- Jun 20, 2007
- Last updated
- Jul 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | – | – | Yes |
Practice location
300 N San Antonio RdSanta Barbara, CA 93110-1316
Phone 805-681-5220
Mailing address
300 N San Antonio RdSanta Barbara, CA 93110-1316
Authorized official
Ned Wilson
Qa Coordinator
8056815101
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