Healthcare Provider Details

I. General information

NPI: 1639859838
Provider Name (Legal Business Name): SANTIAGO MUNOZ BRIONES DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2023
Last Update Date: 07/21/2023
Certification Date: 07/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 N MILPAS ST
SANTA BARBARA CA
93103-2331
US

IV. Provider business mailing address

312 ELLWOOD BEACH DR APT 17
GOLETA CA
93117-2738
US

V. Phone/Fax

Practice location:
  • Phone: 844-594-0343
  • Fax:
Mailing address:
  • Phone: 805-570-1206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number35125
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: