| South Coast Neurology | |
|
1919 State St Ste 203 Santa Barbara CA 93101-8453 | |
| (805) 220-4300 | |
| (805) 620-7676 |
| Full Name | South Coast Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1919 State St Ste 203, Santa Barbara, California |
| Authorized Official Name and Position | Alexandra Bocian (DIRECTOR OF HUMAN RESOURCE) |
| Authorized Official Contact | 8052204300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Coast Neurology 2455 Calle Linares Santa Barbara CA 93109-1131 Ph: (805) 220-4300 | South Coast Neurology 1919 State St Ste 203 Santa Barbara CA 93101-8453 Ph: (805) 220-4300 |
| NPI Number | 1922687391 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 06/29/2021 |
| Certification Date | 06/29/2021 |
| Medicare PECOS PAC ID | 3971906629 |
|---|---|
| Medicare Enrollment ID | O20210720000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922687391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
| Provider Name | Ilene S Buarque De Macedo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932157146 PECOS PAC ID: 6800955121 Enrollment ID: I20210723000974 |
| Provider Name | Pedro S Buarque De Macedo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063460251 PECOS PAC ID: 7315946191 Enrollment ID: I20210723001559 |
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