Healthcare Provider Details
I. General information
NPI: 1083700785
Provider Name (Legal Business Name): BRUCE C MAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/04/2006
Last Update Date: 01/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5333 HOLLISTER AVE. SUITE #208
SANTA BARBARA CA
93111
US
IV. Provider business mailing address
PO BOX 1274
GOLETA CA
93116-1274
US
V. Phone/Fax
- Phone: 805-681-1522
- Fax: 805-681-1524
- Phone: 805-681-1522
- Fax: 805-681-1524
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207KA0200X |
| Taxonomy | Allergy Physician |
| License Number | C38124 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | C38124 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: