Healthcare Provider Details

I. General information

NPI: 1831257344
Provider Name (Legal Business Name): FIMA LIFSHITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2219 BATH STREET
SANTA BARBARA CA
93105
US

IV. Provider business mailing address

2219 BATH STREET
SANTA BARBARA CA
93105
US

V. Phone/Fax

Practice location:
  • Phone: 805-687-8038
  • Fax: 805-682-3332
Mailing address:
  • Phone: 805-687-8038
  • Fax: 805-682-3332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberC50946
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: