Healthcare Provider Details

I. General information

NPI: 1144233370
Provider Name (Legal Business Name): DAVID S ABBOTT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 E ARRELLAGA ST
SANTA BARBARA CA
93101-2531
US

IV. Provider business mailing address

15 E ARRELLAGA ST
SANTA BARBARA CA
93101-2531
US

V. Phone/Fax

Practice location:
  • Phone: 805-965-1095
  • Fax: 805-965-8905
Mailing address:
  • Phone: 805-965-1095
  • Fax: 805-965-8905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA65817
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: