Healthcare Provider Details

I. General information

NPI: 1417971334
Provider Name (Legal Business Name): THOMAS JAY ZWEBER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 12/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2323 DE LA VINA ST SUITE 208
SANTA BARBARA CA
93105-3877
US

IV. Provider business mailing address

PO BOX 50706
SANTA BARBARA CA
93150-0706
US

V. Phone/Fax

Practice location:
  • Phone: 805-845-8895
  • Fax: 805-845-8494
Mailing address:
  • Phone: 805-963-3757
  • Fax: 805-564-3332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberG56307
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: