| Tyrrel, Inc. | |
|
400 W Pueblo St Santa Barbara CA 93105-4353 | |
| (805) 682-7111 | |
| Not Available |
| Full Name | Tyrrel, Inc. |
|---|---|
| Speciality | Hospitalist |
| Location | 400 W Pueblo St, Santa Barbara, California |
| Authorized Official Name and Position | Burgundy Tyrrel Signorini (PRESIDENT) |
| Authorized Official Contact | 8055698368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyrrel, Inc. 3010 Beard Rd Napa CA 94558-3442 Ph: (805) 682-7111 | Tyrrel, Inc. 400 W Pueblo St Santa Barbara CA 93105-4353 Ph: (805) 682-7111 |
| NPI Number | 1134876204 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 04/14/2022 |
| Medicare PECOS PAC ID | 0648658914 |
|---|---|
| Medicare Enrollment ID | O20220531000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134876204 | NPI | - | NPPES |
| 1699177733 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Burgundy Rose Tyrrel Signorini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699177733 PECOS PAC ID: 4183984610 Enrollment ID: I20180201001451 |
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