MEDICARE: BARBARA A. HRACH, M.D., A PROFESSIONAL MEDICAL CORPORATION

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	A054570	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1164575536	OTHER	CA	NPI TYPE 1

General Provider Information

NPI Number	:	1356473961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARBARA A. HRACH, M.D., A PROFESSIONAL MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	1824 STATE ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-2420
Country	:	US
Telephone Number	:	805-898-0500
Fax Number	:	805-898-0501

Provider Business Practice Location Address
First Line	:	1824 STATE ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-2420
Country	:	US
Telephone Number	:	805-898-0500
Fax Number	:	805-898-0501

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BARBARA ANN HRACH
Credential	:	M.D.
Telephone Number	:	805-898-0500

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	08/22/2020

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