| Michael C. Bordofsky Md | |
|
2320 Bath St Ste 201 Santa Barbara CA 93105-4344 | |
| (805) 963-3336 | |
| (805) 564-3332 |
| Full Name | Michael C. Bordofsky Md |
|---|---|
| Speciality | General Practice |
| Location | 2320 Bath St Ste 201, Santa Barbara, California |
| Authorized Official Name and Position | Michael Bordofsky (OWNER) |
| Authorized Official Contact | 8059633336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael C. Bordofsky Md Po Box 50706 Santa Barbara CA 93150-0706 Ph: (805) 963-3336 | Michael C. Bordofsky Md 2320 Bath St Ste 201 Santa Barbara CA 93105-4344 Ph: (805) 963-3336 |
| NPI Number | 1265629893 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 06/17/2008 |
| Medicare PECOS PAC ID | 6608821889 |
|---|---|
| Medicare Enrollment ID | O20050321000883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265629893 | NPI | - | NPPES |
| 00G753640 | Medicaid | CA | |
| 110138625 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 00G753640 (California) | Primary |
| Provider Name | Michael C Bordofsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073505327 PECOS PAC ID: 8426003617 Enrollment ID: I20101207000853 |
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