Trautwein Medical Corporation A | |
515 E Micheltorena St Ste C Santa Barbara CA 93103-4223 | |
(805) 563-3234 | |
(805) 565-8926 |
Full Name | Trautwein Medical Corporation A |
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Speciality | Internal Medicine |
Location | 515 E Micheltorena St Ste C, Santa Barbara, California |
Authorized Official Name and Position | Eric Trautwein (PRESIDENT) |
Authorized Official Contact | 8059694025 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Trautwein Medical Corporation A 1805 E Cabrillo Blvd Suite C Santa Barbara CA 93108-2884 Ph: (805) 969-4025 | Trautwein Medical Corporation A 515 E Micheltorena St Ste C Santa Barbara CA 93103-4223 Ph: (805) 563-3234 |
NPI Number | 1598066755 |
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Provider Enumeration Date | 11/04/2010 |
Last Update Date | 09/27/2023 |
Medicare PECOS PAC ID | 8729260880 |
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Medicare Enrollment ID | O20110310000307 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598066755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A82126 (California) | Primary |
Provider Name | Eric P Trautwein |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073615126 PECOS PAC ID: 4587614383 Enrollment ID: I20050128000942 |
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