Healthcare Provider Details

I. General information

NPI: 1225251903
Provider Name (Legal Business Name): CHRISTEL J. WITTENSTEIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTEL J. BEJENKE M.D.

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 W PUEBLO ST SUITE 304
SANTA BARBARA CA
93105-6211
US

IV. Provider business mailing address

4004 CUERVO AVE
SANTA BARBARA CA
93110-2412
US

V. Phone/Fax

Practice location:
  • Phone: 805-682-7466
  • Fax: 805-687-4121
Mailing address:
  • Phone: 805-682-7466
  • Fax: 805-687-4171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberA 21818
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: