Individual
VICTOR ANDREW TACCONELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5333 HOLLISTER AVE, # 135, SANTA BARBARA, CA 93111-3320
(805) 967-9311
(805) 967-4192
Mailing address
5333 HOLLISTER AVE, STE 135, SANTA BARBARA, CA 93111-3320
(805) 967-9311
(805) 967-4192
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G27913
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G279130
—
CA
Enumeration date
10/16/2006
Last updated
10/14/2011
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