Healthcare Provider Details

I. General information

NPI: 1912937541
Provider Name (Legal Business Name): SANTA BARBARA COUNTY PUBLIC HEALTH DEPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 S. CENTERPOINT PARKWAY
SANTA MARIA CA
93455-1335
US

IV. Provider business mailing address

300 N SAN ANTONIO RD
SANTA BARBARA CA
93110-1316
US

V. Phone/Fax

Practice location:
  • Phone: 805-346-7230
  • Fax: 805-346-7272
Mailing address:
  • Phone: 805-681-5464
  • Fax: 805-681-5200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA79616
License Number StateCA

VIII. Authorized Official

Name: ELIZABETH ANN SNYDER
Title or Position: ASSISTANT DEPUTY DIRECTOR
Credential:
Phone: 805-681-5252