MEDICARE: SOUTH COAST NUCLEAR MEDICINE

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	305R00000X	Preferred Provider Organization		CA

General Provider Information

NPI Number	:	1295731586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH COAST NUCLEAR MEDICINE

Provider Business Mailing Address
First Line	:	229 W PUEBLO ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-3804
Country	:	US
Telephone Number	:	805-563-5744
Fax Number	:	805-563-5747

Provider Business Practice Location Address
First Line	:	229 W PUEBLO ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-3804
Country	:	US
Telephone Number	:	805-563-5744
Fax Number	:	805-563-5747

Authorized Official
Title or Position	:	STAFF PHYSICIAN
Name	:	DR. DANIEL STEVEN RIMKUS
Credential	:	M.D.
Telephone Number	:	805-563-5744

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	07/21/2022

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Directions to “SOUTH COAST NUCLEAR MEDICINE ” Practice Location

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