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931 Walnut Ave Carpinteria CA 93013-2028 | |
(805) 560-1050 | |
(805) 560-1051 |
Full Name | |
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Speciality | Clinic/Center |
Location | 931 Walnut Ave, Carpinteria, California |
Authorized Official Name and Position | Dana Bruce Gamble (DEPUTY DIRECTOR) |
Authorized Official Contact | 8056815171 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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300 N San Antonio Rd Santa Barbara CA 93110-1332 Ph: (805) 681-5461 | 931 Walnut Ave Carpinteria CA 93013-2028 Ph: (805) 560-1050 |
NPI Number | 1558453860 |
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Provider Enumeration Date | 09/28/2006 |
Last Update Date | 06/30/2021 |
Medicare PECOS PAC ID | 9335052083 |
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Medicare Enrollment ID | O20110106000943 |
Identifier | Type | State | Issuer |
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1558453860 | NPI | - | NPPES |