| Buellton Medical Clinic | |
|
185 W. Hwy 246 Suite 102 Buellton CA 93427 | |
| (805) 686-8555 | |
| (805) 686-8556 |
| Full Name | Buellton Medical Clinic |
|---|---|
| Speciality | General Practice |
| Location | 185 W. Hwy 246, Buellton, California |
| Authorized Official Name and Position | Wolfgang Curt Hallauer (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8056868555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buellton Medical Clinic 185 W. Hwy 246 Suite 102 Buellton CA 93427 Ph: (805) 686-8555 | Buellton Medical Clinic 185 W. Hwy 246 Suite 102 Buellton CA 93427 Ph: (805) 686-8555 |
| NPI Number | 1467664532 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467664532 | NPI | - | NPPES |
| GR0078780 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Buellton Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 185 W Highway 246, Suite 102, Buellton, CA 93427 Phone: 805-686-8555 Fax: 805-686-8556 |