MEDICARE: ERIC P TRAUTWEIN M.D.

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	207R00000X	Internal Medicine Physician	A82126	CA

General Provider Information

NPI Number	:	1073615126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC P TRAUTWEIN M.D.

Provider Business Mailing Address
First Line	:	1805 E CABRILLO BLVD
Second Line	:	SUITE C
City	:	SANTA BARBARA
State	:	CA
Zip	:	93108-2884
Country	:	US
Telephone Number	:	805-969-4025
Fax Number	:	805-565-8926

Provider Business Practice Location Address
First Line	:	1805 E CABRILLO BLVD
Second Line	:	SUITE C
City	:	SANTA BARBARA
State	:	CA
Zip	:	93108-2884
Country	:	US
Telephone Number	:	805-969-4025
Fax Number	:	805-565-8926

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

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	06/16/2010

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