Healthcare Provider Details

I. General information

NPI: 1467649814
Provider Name (Legal Business Name): ALLEGRA ELIOT LOBELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 12/23/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 S PATTERSON AVE
SANTA BARBARA CA
93111-2403
US

IV. Provider business mailing address

5276 HOLLISTER AVE
SANTA BARBARA CA
93111-2073
US

V. Phone/Fax

Practice location:
  • Phone: 805-967-3411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberA97175
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA97175
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: