Basic Information
| Provider Information | |||||||||
| NPI: | 1942234539 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SANTA BARBARA INTERNAL MEDICINE GROUP A MEDICAL CORPORATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 6676 | ||||||||
| Address2: | |||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931606676 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8059649858 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5333 HOLLISTER AVE | ||||||||
| Address2: | #201 | ||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931112341 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8059649858 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2006 | ||||||||
| LastUpdateDate: | 12/11/2019 | ||||||||
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| AuthorizedOfficialLastName: | BIRKEN | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
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| AuthorizedOfficialTitleorPosition: | DR. | ||||||||
| AuthorizedOfficialTelephone: | 8059649858 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 12/11/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.