Healthcare Provider Details

I. General information

NPI: 1265630602
Provider Name (Legal Business Name): RENE BAIRD ALLEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2007
Last Update Date: 06/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

536 E ARRELLAGA ST SUITE 201
SANTA BARBARA CA
93103-2264
US

IV. Provider business mailing address

536 E ARRELLAGA ST SUITE 201
SANTA BARBARA CA
93103-2264
US

V. Phone/Fax

Practice location:
  • Phone: 805-965-3400
  • Fax: 805-965-1222
Mailing address:
  • Phone: 805-965-3400
  • Fax: 805-965-1222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA81775
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberA81775
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: