Healthcare Provider Details

I. General information

NPI: 1750760765
Provider Name (Legal Business Name): ZUGAN HEALTH MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2015
Last Update Date: 12/13/2023
Certification Date: 12/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 CHAPALA ST
SANTA BARBARA CA
93101-3112
US

IV. Provider business mailing address

1100 CHAPALA ST
SANTA BARBARA CA
93101-3112
US

V. Phone/Fax

Practice location:
  • Phone: 805-395-4946
  • Fax:
Mailing address:
  • Phone: 805-395-4946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARGARET LACY
Title or Position: MANAGING PARTNER, FOUNDER
Credential:
Phone: 616-304-9430