MEDICARE: PHILLIP N WEST 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	174400000X	Specialist	G44660	CA

General Provider Information

NPI Number	:	1972510451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILLIP N WEST M.D.

Provider Business Mailing Address
First Line	:	2415 BATH ST
Second Line	:	SUITE A
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4324
Country	:	US
Telephone Number	:	805-687-3744
Fax Number	:	805-687-6048

Provider Business Practice Location Address
First Line	:	2415 BATH ST
Second Line	:	SUITE A
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4324
Country	:	US
Telephone Number	:	805-687-3744
Fax Number	:	805-687-6048

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	01/18/2012

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