Healthcare Provider Details

I. General information

NPI: 1952606105
Provider Name (Legal Business Name): GARY S HUFF BC-HIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2011
Last Update Date: 04/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1433 STATE ST
SANTA BARBARA CA
93101-2511
US

IV. Provider business mailing address

1433 STATE ST
SANTA BARBARA CA
93101-2511
US

V. Phone/Fax

Practice location:
  • Phone: 805-898-2530
  • Fax: 805-898-2531
Mailing address:
  • Phone: 805-898-2530
  • Fax: 805-898-2531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA#2824
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: