MEDICARE: DONALD SLUTZKY 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	2084P0800X	Psychiatry Physician	C32653	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	C32653	OTHER	CA	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659314482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD SLUTZKY MD

Provider Business Mailing Address
First Line	:	2429 BATH ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4324
Country	:	US
Telephone Number	:	805-687-5491
Fax Number	:	805-687-2442

Provider Business Practice Location Address
First Line	:	2429 BATH ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4324
Country	:	US
Telephone Number	:	805-687-5491
Fax Number	:	805-687-2442

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

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	06/04/2009

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