| Santa Barbara Medical Group, Inc. | |
|
7111 Winnetka Ave Suite 14 Canoga Park CA 91306-3672 | |
| (818) 884-8607 | |
| (818) 884-8619 |
| Full Name | Santa Barbara Medical Group, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 7111 Winnetka Ave, Canoga Park, California |
| Authorized Official Name and Position | Nathan Daniel Ford (PRESIDENT) |
| Authorized Official Contact | 8188848607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Barbara Medical Group, Inc. 7111 Winnetka Ave Suite 14 Canoga Park CA 91306-3672 Ph: (818) 884-8607 | Santa Barbara Medical Group, Inc. 7111 Winnetka Ave Suite 14 Canoga Park CA 91306-3672 Ph: (818) 884-8607 |
| NPI Number | 1912240193 |
|---|---|
| Provider Enumeration Date | 04/05/2013 |
| Last Update Date | 04/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912240193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A122580 (California) | Secondary |
| 208D00000X | General Practice | A122580 (California) | Primary |
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