Healthcare Provider Details

I. General information

NPI: 1457886566
Provider Name (Legal Business Name): REBECCA SALVO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2017
Last Update Date: 09/14/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2403 CASTILLO ST STE 201
SANTA BARBARA CA
93105-5316
US

IV. Provider business mailing address

400 W. PUEBLO STREET SANTA BARBARA COTTAGE HOSPITAL MEDICAL EDUCATION OFFICE
SANTA BARBARA CA
93105
US

V. Phone/Fax

Practice location:
  • Phone: 805-682-3585
  • Fax: 805-682-4072
Mailing address:
  • Phone: 805-569-7315
  • Fax: 805-569-8358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number17359
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: