Healthcare Provider Details

I. General information

NPI: 1467471144
Provider Name (Legal Business Name): WILLIAM EDWARD VOLLERO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: WILLIAM EDWARD VOLLERO MD

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 04/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 MIDDLE RD
SANTA BARBARA CA
93108-2456
US

IV. Provider business mailing address

PO BOX 5224
SANTA BARBARA CA
93150-5224
US

V. Phone/Fax

Practice location:
  • Phone: 805-969-7972
  • Fax: 805-969-7972
Mailing address:
  • Phone: 805-969-7972
  • Fax: 805-969-7972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG28181
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberG28181
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: