MEDICARE: ZONA SECA, INC.

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	420025BN	CA

General Provider Information

NPI Number	:	1306970983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZONA SECA, INC.

Provider Business Mailing Address
First Line	:	26 W FIGUEROA ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-3104
Country	:	US
Telephone Number	:	805-963-8961
Fax Number	:	805-963-8964

Provider Business Practice Location Address
First Line	:	26 W FIGUEROA ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-3104
Country	:	US
Telephone Number	:	805-963-8961
Fax Number	:	805-963-8964

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. FRANK NMN BANALES
Credential	:	BUSINESS
Telephone Number	:	805-963-8961

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	08/22/2020

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