Healthcare Provider Details

I. General information

NPI: 1740396845
Provider Name (Legal Business Name): DR. ALAIN POLYNICE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 COAST VILLAGE RD STE L
SANTA BARBARA CA
93108-2720
US

IV. Provider business mailing address

1250 COAST VILLAGE RD STE L
SANTA BARBARA CA
93108-2720
US

V. Phone/Fax

Practice location:
  • Phone: 805-962-1957
  • Fax:
Mailing address:
  • Phone: 805-962-1957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number205376
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberC173219
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: