| Montecito Geriatric Medical Group Inc | |
|
219 Nogales Ave Ste D Santa Barbara CA 93105-3848 | |
| (805) 969-4382 | |
| (805) 284-9556 |
| Full Name | Montecito Geriatric Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 219 Nogales Ave Ste D, Santa Barbara, California |
| Authorized Official Name and Position | Todd Fearer (MD) |
| Authorized Official Contact | 8059631997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montecito Geriatric Medical Group Inc Po Box 50706 Santa Barbara CA 93150-0706 Ph: (805) 963-1997 | Montecito Geriatric Medical Group Inc 219 Nogales Ave Ste D Santa Barbara CA 93105-3848 Ph: (805) 969-4382 |
| NPI Number | 1356981096 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 01/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356981096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Gary M Van Deventer Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 W Pueblo St, Suite B, Santa Barbara, CA 93105 Phone: 805-563-0024 Fax: 805-563-1454 | |
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