Basic Information
Provider Information
NPI: 1013958172
EntityType: 2
ReplacementNPI:  
OrganizationName: SANTA BARBARA COUNTY PUBLIC HEALTH DEPT
LastName:  
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Mailing Information
Address1: 300 N SAN ANTONIO RD
Address2:  
City: SANTA BARBARA
State: CA
PostalCode: 931101316
CountryCode: US
TelephoneNumber: 8056815461
FaxNumber: 8056815200
Practice Location
Address1: 300 N SAN ANTONIO RD
Address2:  
City: SANTA BARBARA
State: CA
PostalCode: 931101316
CountryCode: US
TelephoneNumber: 8056815461
FaxNumber: 8056815200
Other Information
ProviderEnumerationDate: 06/09/2006
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: BLUNT
AuthorizedOfficialFirstName: VICTORIA
AuthorizedOfficialMiddleName: DESMET
AuthorizedOfficialTitleorPosition: ADMINISTRATIVE SECRETARY
AuthorizedOfficialTelephone: 8056815461
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: CPS
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2083P0901X  Y193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine

No ID Information.


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