| Jeffrey Bourne D O Medical Corporation | |
|
710 Las Canoas Pl Santa Barbara CA 93105-2362 | |
| (805) 391-3268 | |
| (805) 434-3209 |
| Full Name | Jeffrey Bourne D O Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 710 Las Canoas Pl, Santa Barbara, California |
| Authorized Official Name and Position | Jeffrey Bourne (PRESIDENT) |
| Authorized Official Contact | 8053913268 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Bourne D O Medical Corporation Po Box 148 Templeton CA 93465-0148 Ph: (805) 391-3268 | Jeffrey Bourne D O Medical Corporation 710 Las Canoas Pl Santa Barbara CA 93105-2362 Ph: (805) 391-3268 |
| NPI Number | 1235447491 |
|---|---|
| Provider Enumeration Date | 09/21/2010 |
| Last Update Date | 04/26/2019 |
| Medicare PECOS PAC ID | 7315120425 |
|---|---|
| Medicare Enrollment ID | O20110328000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235447491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A7050 (California) | Primary |
| Provider Name | Jeffrey R Bourne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144325754 PECOS PAC ID: 6204019318 Enrollment ID: I20110613000800 |
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