Organization
FEE-FOR-SERVICE PSYCHIATRIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NED WILSON (QA COORDINATOR)
(805) 681-5101
Entity
Organization
Contact information
Practice address
300 N SAN ANTONIO RD, SANTA BARBARA, CA 93110-1316
(805) 681-5220
Mailing address
300 N SAN ANTONIO RD, SANTA BARBARA, CA 93110-1316
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
06/20/2007
Last updated
07/30/2008
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