MEDICARE: JEANNE SZARZYNSKI PA-C

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	363A00000X	Physician Assistant	21873	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PA21873	OTHER	CA	STATE LICENSE #

General Provider Information

NPI Number	:	1255357448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANNE SZARZYNSKI PA-C

Provider Business Mailing Address
First Line	:	PO BOX 62106
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93160-2106
Country	:	US
Telephone Number	:	805-681-1760
Fax Number	:	805-681-1768

Provider Business Practice Location Address
First Line	:	515 W PUEBLO ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-6212
Country	:	US
Telephone Number	:	805-681-1760
Fax Number	:	805-681-1768

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	09/03/2014

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