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Organization
SANTA YNEZ RIVER PHYSICIANS, PC
Active
Organization
SANTA YNEZ RIVER PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM H LARSEN (DIRECTOR OF CREDENTIALING)
(770) 874-5400
Entity
Organization
Contact information
Practice address
1515 E OCEAN AVE, LOMPOC, CA 93436-7092
(805) 737-3300
Mailing address
PO BOX 24272, BELFAST, ME 04915-4493
(770) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
02/05/2020
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