Healthcare Provider Details

I. General information

NPI: 1750737896
Provider Name (Legal Business Name): ALLISON AKERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2016
Last Update Date: 07/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2027 VILLAGE LN STE 102
SOLVANG CA
93463
US

IV. Provider business mailing address

PO BOX 62106
SANTA BARBARA CA
93160-2106
US

V. Phone/Fax

Practice location:
  • Phone: 805-688-3440
  • Fax:
Mailing address:
  • Phone: 805-681-1872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A15926
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: