Healthcare Provider Details

I. General information

NPI: 1225055114
Provider Name (Legal Business Name): KARL J SANDIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 02/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 W PUEBLO ST
SANTA BARBARA CA
93105-3870
US

IV. Provider business mailing address

133 E DE LA GUERRA ST BOX 170
SANTA BARBARA CA
93101-2228
US

V. Phone/Fax

Practice location:
  • Phone: 805-569-8922
  • Fax: 805-687-5467
Mailing address:
  • Phone: 805-569-8922
  • Fax: 805-687-5467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberG67921
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: