Healthcare Provider Details

I. General information

NPI: 1932527983
Provider Name (Legal Business Name): MARIAM GUENTHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2014
Last Update Date: 08/11/2024
Certification Date: 08/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 HITCHCOCK WAY
SANTA BARBARA CA
93105-3101
US

IV. Provider business mailing address

51 HITCHCOCK WAY
SANTA BARBARA CA
93105-3101
US

V. Phone/Fax

Practice location:
  • Phone: 805-681-7635
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number193656
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number193656
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: