Healthcare Provider Details
I. General information
NPI: 1275745325
Provider Name (Legal Business Name): KARIN VAN HOEK, M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/03/2007
Last Update Date: 09/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2416 CASTILLO ST., SUITE B
SANTA BARBARA CA
93105-4342
US
IV. Provider business mailing address
PO BOX 30303
SANTA BARBARA CA
93130-0303
US
V. Phone/Fax
- Phone: 805-898-0406
- Fax: 805-898-0364
- Phone: 805-898-0406
- Fax: 805-898-0364
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | C42275 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | C42275 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
KARIN
VAN HOEK
Title or Position: PRESIDENT
Credential: M.D.
Phone: 805-898-0406