MEDICARE: DR. PAUL S. AIJIAN M.D.

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	207R00000X	Internal Medicine Physician	G34375	CA
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	G34375	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	27-2071738	OTHER	CA	BLUE CROSS SUBMITTER #
2	00G343750	OTHER	CA	BLUE SHIELD PROVIDER ID
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	10939873	OTHER	CA	CAQH

General Provider Information

NPI Number	:	1902898869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL S. AIJIAN M.D.

Provider Business Mailing Address
First Line	:	200 N LA CUMBRE RD
Second Line	:	STE B
City	:	SANTA BARBARA
State	:	CA
Zip	:	93110-1577
Country	:	US
Telephone Number	:	805-682-7201
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 N LA CUMBRE RD
Second Line	:	STE B
City	:	SANTA BARBARA
State	:	CA
Zip	:	93110-1577
Country	:	US
Telephone Number	:	805-682-7201
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	07/07/2015

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