MEDICARE: DR. THOMAS JAY ZWEBER M.D.

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	208100000X	Physical Medicine & Rehabilitation Physician	G56307	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G56307	OTHER	CA	STATE LICENSE

General Provider Information

NPI Number	:	1417971334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS JAY ZWEBER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 50706
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93150-0706
Country	:	US
Telephone Number	:	805-963-3757
Fax Number	:	805-564-3332

Provider Business Practice Location Address
First Line	:	2323 DE LA VINA ST
Second Line	:	SUITE 208
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-3877
Country	:	US
Telephone Number	:	805-845-8895
Fax Number	:	805-845-8494

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	12/30/2014

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