Healthcare Provider Details

I. General information

NPI: 1013963974
Provider Name (Legal Business Name): GEORGE KAMAJIAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5580 CALLE REAL
GOLETA CA
93111-1646
US

IV. Provider business mailing address

414 E COTA ST FL 1
SANTA BARBARA CA
93101-1624
US

V. Phone/Fax

Practice location:
  • Phone: 805-617-7878
  • Fax: 805-617-7880
Mailing address:
  • Phone: 805-617-7878
  • Fax: 805-617-7880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number20A22936
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS8081
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberOS8081
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: