Basic Information
| Provider Information | |||||||||
| NPI: | 1154512986 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FISHER | ||||||||
| FirstName: | SEAN | ||||||||
| MiddleName: | G | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 533 E MICHELTORENA ST | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931032200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8058844900 | ||||||||
| FaxNumber: | 8058844913 | ||||||||
| Practice Location | |||||||||
| Address1: | 533 E MICHELTORENA ST | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931032200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8058844900 | ||||||||
| FaxNumber: | 8058844913 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/07/2007 | ||||||||
| LastUpdateDate: | 12/06/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | PA 19288 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.