Healthcare Provider Details

I. General information

NPI: 1023178936
Provider Name (Legal Business Name): AUGUSTO JULIAN CASTANEDA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E ARRELLAGA ST SUITE 205
SANTA BARBARA CA
93103
US

IV. Provider business mailing address

601 E ARRELLAGA ST SUITE 205
SANTA BARBARA CA
93103
US

V. Phone/Fax

Practice location:
  • Phone: 805-963-4959
  • Fax: 805-963-0332
Mailing address:
  • Phone: 805-963-4959
  • Fax: 805-963-0332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA42748
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: