MEDICARE: GERALD SVEDLOW MD

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	G065081	CA

General Provider Information

NPI Number	:	1255365292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERALD SVEDLOW MD

Provider Business Mailing Address
First Line	:	PO BOX 6676
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93160-6676
Country	:	US
Telephone Number	:	805-964-9858
Fax Number	:

Provider Business Practice Location Address
First Line	:	5333 HOLLISTER AVE
Second Line	:	#201
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2341
Country	:	US
Telephone Number	:	805-964-9858
Fax Number	:

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	04/26/2012

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