Healthcare Provider Details

I. General information

NPI: 1639138258
Provider Name (Legal Business Name): DR. DANIEL F RYCHLIK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 08/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1722 STATE ST STE 203
SANTA BARBARA CA
93101
US

IV. Provider business mailing address

1722 STATE ST STE 203
SANTA BARBARA CA
93101-2526
US

V. Phone/Fax

Practice location:
  • Phone: 805-569-1950
  • Fax: 805-569-1920
Mailing address:
  • Phone: 805-569-1950
  • Fax: 805-569-1920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberC134230
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: