Healthcare Provider Details

I. General information

NPI: 1821090887
Provider Name (Legal Business Name): DONALD E LINDBLAD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date: 04/04/2006
Reactivation Date: 04/19/2006

III. Provider practice location address

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

IV. Provider business mailing address

334 S PATTERSON AVE STE 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:
Title or Position:
Credential:
Phone: