Healthcare Provider Details

I. General information

NPI: 1679032643
Provider Name (Legal Business Name): JEFFREY MICHAEL REBHUN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 W PUEBLO ST
SANTA BARBARA CA
93105-4310
US

IV. Provider business mailing address

PO BOX 276004
SACRAMENTO CA
95827-6004
US

V. Phone/Fax

Practice location:
  • Phone: 805-898-3120
  • Fax: 805-898-3491
Mailing address:
  • Phone: 800-478-8837
  • Fax: 916-739-3623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA200683
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: