Healthcare Provider Details

I. General information

NPI: 1326498155
Provider Name (Legal Business Name): 120 SPALDING PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2016
Last Update Date: 06/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 GRAY AVE STE 200
SANTA BARBARA CA
93101-1859
US

IV. Provider business mailing address

120 GRAY AVE STE 200
SANTA BARBARA CA
93101-1859
US

V. Phone/Fax

Practice location:
  • Phone: 805-679-6736
  • Fax:
Mailing address:
  • Phone: 805-679-6736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATTY HARRISON
Title or Position: DIRECTOR OF CLINICAL SERVICES
Credential: MN, BSN, RN
Phone: 805-679-6736