MEDICARE: SANTA BARBARA COUNTY PUBLIC HEALTH DEPT

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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1972690170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA BARBARA COUNTY PUBLIC HEALTH DEPT

Provider Business Mailing Address
First Line	:	300 N. SAN ANTONIO ROAD
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93110
Country	:	US
Telephone Number	:	805-681-5461
Fax Number	:	805-681-5200

Provider Business Practice Location Address
First Line	:	301 NORTH 'R' ST
Second Line	:
City	:	LOMPOC
State	:	CA
Zip	:	93436-7845
Country	:	US
Telephone Number	:	805-737-6483
Fax Number	:	805-737-6484

Authorized Official
Title or Position	:	ASSIST DEPUTY DIRECTOR
Name	:	ELIZABETH ANN SNYDER
Credential	:
Telephone Number	:	805-681-5252

Provider Enumeration Date	:	10/07/2006
Last Update Date	:	08/22/2020

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