Basic Information
Provider Information
NPI: 1518934710
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SLOMIANY
FirstName: DAVID
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 50706
Address2:  
City: SANTA BARBARA
State: CA
PostalCode: 931500706
CountryCode: US
TelephoneNumber: 8059633757
FaxNumber: 8055643332
Practice Location
Address1: 5333 HOLLISTER AVE
Address2: SUITE 250
City: GOLETA
State: CA
PostalCode: 931112341
CountryCode: US
TelephoneNumber: 8058794244
FaxNumber: 8058794266
Other Information
ProviderEnumerationDate: 03/07/2006
LastUpdateDate: 10/20/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0207X35094MNY Allopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology

No ID Information.


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