Healthcare Provider Details
I. General information
NPI: 1801822291
Provider Name (Legal Business Name): SANTA BARBARA COUNTY PUBLIC HEALTH DEPT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
931 WALNUT AVE
CARPINTERIA CA
93013-2028
US
IV. Provider business mailing address
300 N SAN ANTONIO RD
SANTA BARBARA CA
93110-1316
US
V. Phone/Fax
- Phone: 805-560-1050
- Fax: 805-560-1051
- Phone: 805-681-5461
- Fax: 805-681-5200
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | C39503 |
| License Number State | CA |
VIII. Authorized Official
Name:
ELIZABETH
ANN
SNYDER
Title or Position: ASSISTANT DEPUTY DIRECTOR
Credential:
Phone: 805-681-5252