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Organization
SANTA BARBARA SELECT IPA, INC
Active
Organization
SANTA BARBARA SELECT IPA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK S. GILBERT MD (MEDICAL DIRECTOR)
(805) 687-1505
Entity
Organization
Contact information
Practice address
955 OVERLAND CT FL 2, SAN DIMAS, CA 91773-1718
(909) 971-6740
(909) 971-6790
Mailing address
PO BOX 4987, COVINA, CA 91723-4987
(909) 971-6740
(909) 971-6790
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
171W00000X
CA
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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