Healthcare Provider Details

I. General information

NPI: 1457481814
Provider Name (Legal Business Name): DONALD E LINDBLAD MD AMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 S PATTERSON AVE SUITE 203
SANTA BARBARA CA
93111-2400
US

IV. Provider business mailing address

334 S PATTERSON AVE SUITE 203
SANTA BARBARA CA
93111-2400
US

V. Phone/Fax

Practice location:
  • Phone: 805-967-3443
  • Fax: 805-967-1504
Mailing address:
  • Phone: 805-967-3443
  • Fax: 805-967-1504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberG14482
License Number StateCA

VIII. Authorized Official

Name: DR. DONALD EUGENE LINDBLAD
Title or Position: OWNER-PRESIDENT
Credential: M.D.
Phone: 805-967-3443