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Organization
PAUL S AIJIAN MD WILLIAM C KOONCE MD
Active
Organization
PAUL S AIJIAN MD WILLIAM C KOONCE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL S AIJIAN MD (PARTNER)
(805) 682-7200
Entity
Organization
Contact information
Practice address
219 NOGALES AVE, STE B, SANTA BARBARA, CA 93105-3848
(805) 682-7200
(805) 682-3278
Mailing address
219 NOGALES AVE, STE B, SANTA BARBARA, CA 93105-3848
(805) 682-7200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APAWK0802PRF
BLUE CROSS SUBMITTER ID #
CA
05
—
GR0048120
—
CA
01
—
YYY50118Y
BLUE SHIELD PROVIDER ID #
CA
Enumeration date
08/17/2005
Last updated
07/29/2010
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