Healthcare Provider Details

I. General information

NPI: 1356713234
Provider Name (Legal Business Name): MS. MARIA CARIDAD YEPEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2015
Last Update Date: 10/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5071 SAN JULIO AVE
SANTA BARBARA CA
93111-2121
US

IV. Provider business mailing address

3345 STATE ST # 3397
SANTA BARBARA CA
93130
US

V. Phone/Fax

Practice location:
  • Phone: 805-637-6310
  • Fax: 805-563-5152
Mailing address:
  • Phone: 805-637-6310
  • Fax: 805-563-5152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: