Healthcare Provider Details

I. General information

NPI: 1174606214
Provider Name (Legal Business Name): PUEBLO SURGERY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 01/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 CHAPALA ST #102
SANTA BARBARA CA
93101-3473
US

IV. Provider business mailing address

401 CHAPALA ST #102
SANTA BARBARA CA
93101-3473
US

V. Phone/Fax

Practice location:
  • Phone: 805-682-1394
  • Fax: 805-682-3984
Mailing address:
  • Phone: 805-682-1394
  • Fax: 805-682-3984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. RICHARD SCHEINBERG
Title or Position: OWNER
Credential: M.D.
Phone: 805-682-1394