Healthcare Provider Details

I. General information

NPI: 1164449880
Provider Name (Legal Business Name): HULLANDER AND MOZINGO LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 W PUEBLO ST STE B
SANTA BARBARA CA
93105-3805
US

IV. Provider business mailing address

P.O. BOX 3880
SANTA BARBARA CA
93130-3880
US

V. Phone/Fax

Practice location:
  • Phone: 805-563-0363
  • Fax: 805-563-0364
Mailing address:
  • Phone: 805-563-0363
  • Fax: 805-563-0364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG68228
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number20A6316
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberG68228
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number20A6316
License Number StateCA

VIII. Authorized Official

Name: ROBERT MICHAEL HULLANDER
Title or Position: PARTNER
Credential: M.D.
Phone: 805-563-0363