Healthcare Provider Details
I. General information
NPI: 1306225123
Provider Name (Legal Business Name): ARCE MEDICAL CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/26/2015
Last Update Date: 08/01/2022
Certification Date: 08/01/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 N LA CUMBRE RD STE M
SANTA BARBARA CA
93110-2596
US
IV. Provider business mailing address
200 N LA CUMBRE RD STE M
SANTA BARBARA CA
93110-2596
US
V. Phone/Fax
- Phone: 805-324-4399
- Fax: 805-770-2475
- Phone: 805-324-4399
- Fax: 805-770-2475
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | A80151 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
FELIPE
DE JESUS
ARCE
Title or Position: PRESIDENT
Credential: MD
Phone: 805-324-4399