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Organization
CENTRAL COAST PHYSICAL MEDICINE AND REHABILITATION MEDICAL GROUP INC.
Active
Organization
CENTRAL COAST PHYSICAL MEDICINE AND REHABILITATION MEDICAL GROUP INC.
Active
Other names
Rehabilitation Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS BARRY MD (PRESIDENT)
(805) 569-8922
Entity
Organization
Contact information
Practice address
2415 DE LA VINA ST, SANTA BARBARA, CA 93105-3819
(805) 687-7444
(805) 687-3707
Mailing address
PO BOX 1206, GOLETA, CA 93116-1206
(805) 569-8922
(805) 687-5467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225400000X
Rehabilitation Practitioner
—
CA
Other
Enumeration date
06/02/2006
Last updated
07/21/2022
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