MEDICARE: ARTHRITIS INSTITUTE OF SANTA BARBARA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	G10009	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720269889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTHRITIS INSTITUTE OF SANTA BARBARA

Provider Business Mailing Address
First Line	:	2419 CASTILLO ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4301
Country	:	US
Telephone Number	:	805-682-7570
Fax Number	:	805-687-3776

Provider Business Practice Location Address
First Line	:	2419 CASTILLO ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4301
Country	:	US
Telephone Number	:	805-682-7570
Fax Number	:	805-687-3776

Authorized Official
Title or Position	:	MD
Name	:	DR. GUY S CLARK
Credential	:	MD
Telephone Number	:	805-682-7570

Provider Enumeration Date	:	11/16/2007
Last Update Date	:	11/16/2007

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