Healthcare Provider Details

I. General information

NPI: 1245840875
Provider Name (Legal Business Name): ABIGAIL LINDROS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2020
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5638 HOLLISTER AVE. SUITE 230
GOLETA CA
93117-3371
US

IV. Provider business mailing address

513 ARUNDEL RD.
GOLETA CA
93117
US

V. Phone/Fax

Practice location:
  • Phone: 805-964-8857
  • Fax:
Mailing address:
  • Phone: 949-616-6231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: