Healthcare Provider Details

I. General information

NPI: 1164073060
Provider Name (Legal Business Name): TTC ORTHOPAEDICS A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2019
Last Update Date: 12/30/2019
Certification Date: 12/30/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5333 HOLLISTER AVE STE 160
SANTA BARBARA CA
93111-2454
US

IV. Provider business mailing address

5333 HOLLISTER AVE STE 160
GOLETA CA
93111-2454
US

V. Phone/Fax

Practice location:
  • Phone: 805-964-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW HARRISON
Title or Position: OWNER
Credential:
Phone: 805-964-2300