Healthcare Provider Details

I. General information

NPI: 1922038579
Provider Name (Legal Business Name): SANTA BARBARA COUNTY PUBLIC HEALTH DEPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1136 E MONTECITO ST
SANTA BARBARA CA
93103-2635
US

IV. Provider business mailing address

300 N SAN ANTONIO RD
SANTA BARBARA CA
93110-1316
US

V. Phone/Fax

Practice location:
  • Phone: 805-568-2099
  • Fax: 805-568-2039
Mailing address:
  • Phone: 805-681-5464
  • Fax: 805-681-5200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA60415
License Number StateCA

VIII. Authorized Official

Name: ELIZABETH ANN SNYDER
Title or Position: ASSISTANT DEPUTY DIRECTOR
Credential:
Phone: 805-681-5252