Basic Information
| Provider Information | |||||||||
| NPI: | 1750476651 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GAROFALO | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | T | ||||||||
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| Credential: | D.P.M. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 122 S PATTERSON AVE | ||||||||
| Address2: | 101 | ||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931112055 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8059643541 | ||||||||
| FaxNumber: | 8059646461 | ||||||||
| Practice Location | |||||||||
| Address1: | 122 S PATTERSON AVE | ||||||||
| Address2: | 101 | ||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931112055 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8059643541 | ||||||||
| FaxNumber: | 8059646461 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2006 | ||||||||
| LastUpdateDate: | 08/07/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | E1384 | CA | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist |
No ID Information.