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NPI Code Detail

MEDICARE: MR. SEAN G FISHER PA

MEDICARE:  MR. SEAN G FISHER  PA
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
1363AM0700XMedical Physician AssistantPA 19288CA

General Provider Information

NPI Number : 1154512986
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SEAN G FISHER PA
Provider Business Mailing Address
First Line : 592 N HOPE AVE
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93110-1570
Country : US
Telephone Number : 805-680-9809
Fax Number :
Provider Business Practice Location Address
First Line : 2323 OAK PARK LN STE 202
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-4276
Country : US
Telephone Number : 805-892-8111
Fax Number : 805-892-8444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2007
Last Update Date : 03/07/2023

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Directions to “ MR. SEAN G FISHER PA” Practice Location

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