MEDICARE: ADAM D LOWENSTEIN 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	174400000X	Specialist	G87853	CA
2	2086S0122X	Plastic and Reconstructive Surgery Physician	G87853	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G87853	OTHER	CA	CALIFORNIA LICENSE

General Provider Information

NPI Number	:	1932259306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM D LOWENSTEIN M.D.

Provider Business Mailing Address
First Line	:	1722 STATE ST
Second Line	:	101
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-2458
Country	:	US
Telephone Number	:	805-969-9004
Fax Number	:	805-969-7224

Provider Business Practice Location Address
First Line	:	1722 STATE ST
Second Line	:	101
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-2458
Country	:	US
Telephone Number	:	805-969-9004
Fax Number	:	805-969-7224

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

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	05/09/2024

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