| Dukesherer Medical Corporation | |
|
320 W Pueblo St Santa Barbara CA 93105-4311 | |
| (805) 464-6104 | |
| (805) 733-1213 |
| Full Name | Dukesherer Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 320 W Pueblo St, Santa Barbara, California |
| Authorized Official Name and Position | Melinda Aguirre (OFFICE MANAGER) |
| Authorized Official Contact | 8057334869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dukesherer Medical Corporation 836 Anacapa St # 20058 Santa Barbara CA 93102-7001 Ph: (805) 464-6104 | Dukesherer Medical Corporation 320 W Pueblo St Santa Barbara CA 93105-4311 Ph: (805) 464-6104 |
| NPI Number | 1265023618 |
|---|---|
| Provider Enumeration Date | 01/28/2021 |
| Last Update Date | 01/28/2021 |
| Medicare PECOS PAC ID | 1658760004 |
|---|---|
| Medicare Enrollment ID | O20211105001250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265023618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Angelina Dukesherer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295987899 PECOS PAC ID: 1052583820 Enrollment ID: I20111020000693 |
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