Healthcare Provider Details

I. General information

NPI: 1366189003
Provider Name (Legal Business Name): ALEXANDER VOLOSHKO D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ALEX VOLOHKO D.O.

II. Dates (important events)

Enumeration Date: 05/15/2022
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SANTA BARBARA COTTAGE HOSPITAL 400 W. PUEBLO STREET
SANTA BARBARA CA
93105
US

IV. Provider business mailing address

SANTA BARBARA COTTAGE HOSPITAL 400 W. PUEBLO STREET
SANTA BARBARA CA
93105
US

V. Phone/Fax

Practice location:
  • Phone: 805-569-7315
  • Fax: 805-569-8358
Mailing address:
  • Phone: 805-569-7315
  • Fax: 805-569-8358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: