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General NPI Number Information
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NPI Number | 1497839161
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR PULMONARY MEDICAL GROUP, INC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 334 S PATTERSON AVE SUITE 210
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City | SANTA BARBARA
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State | CA
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Zip | 93111
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Country | US
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Telephone | 805-967-0497
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Fax | 805-683-0322
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Provider Business Mailing Address
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Address Line | 334 S PATTERSON AVE SUITE 210
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City | SANTA BARBARA
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State | CA
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Zip | 93111
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Country | US
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Telephone | 805-967-0497
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Fax | 805-683-0322
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Authorized Official
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Title or Position | PRESIDENT
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Name | R BRUCE MCFADDEN
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Credential | MD FACC
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Telephone | 805-967-0497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State | CA
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