Healthcare Provider Details
I. General information
NPI: 1497054126
Provider Name (Legal Business Name): CRISTINA R. HARNSBERGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/21/2011
Last Update Date: 08/15/2022
Certification Date: 08/15/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
317 W PUEBLO ST
SANTA BARBARA CA
93105
US
IV. Provider business mailing address
PO BOX 62106
SANTA BARBARA CA
93160-2106
US
V. Phone/Fax
- Phone: 805-898-3140
- Fax:
- Phone: 805-681-1872
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | A120146 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208C00000X |
| Taxonomy | Colon & Rectal Surgery Physician |
| License Number | A120146 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: