Healthcare Provider Details

I. General information

NPI: 1457503617
Provider Name (Legal Business Name): LIZA G. PRESSER BELKIN M.D. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 10/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5333 HOLLISTER AVE STE 295
SANTA BARBARA CA
93111-2474
US

IV. Provider business mailing address

5333 HOLLISTER AVE STE 295
SANTA BARBARA CA
93111-2474
US

V. Phone/Fax

Practice location:
  • Phone: 805-569-3377
  • Fax: 805-277-9661
Mailing address:
  • Phone: 805-569-3377
  • Fax: 805-277-9661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License NumberA71127
License Number StateCA

VIII. Authorized Official

Name: MR. LIZA G PRESSER BELKIN
Title or Position: OWNER
Credential: M.D.
Phone: 805-450-0538