MEDICARE: LOUIS CASSANO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	555494	CA

General Provider Information

NPI Number	:	1053466540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUIS CASSANO

Provider Business Mailing Address
First Line	:	2207 STATE ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-3557
Country	:	US
Telephone Number	:	805-637-4118
Fax Number	:

Provider Business Practice Location Address
First Line	:	114 E HALEY ST
Second Line	:	STE D
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-2347
Country	:	US
Telephone Number	:	805-962-1004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	07/08/2007

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Directions to “ LOUIS CASSANO ” Practice Location

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