Healthcare Provider Details

I. General information

NPI: 1750476651
Provider Name (Legal Business Name): JOSEPH T GAROFALO D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 S PATTERSON AVE 101
SANTA BARBARA CA
93111-2055
US

IV. Provider business mailing address

122 S PATTERSON AVE 101
SANTA BARBARA CA
93111-2055
US

V. Phone/Fax

Practice location:
  • Phone: 805-964-3541
  • Fax: 805-964-6461
Mailing address:
  • Phone: 805-964-3541
  • Fax: 805-964-6461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE1384
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: