Organization
CENTRAL COAST CRITICAL CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOAH STITES-HALLETT MD (ADMINISTRATOR)
(805) 682-2775
Entity
Organization
Contact information
Practice address
400 W PUEBLO ST, SANTA BARBARA, CA 93105-4353
(805) 682-2775
(805) 563-3680
Mailing address
5662 CALLE REAL, #248, GOLETA, CA 93117-2317
(805) 682-2775
(805) 563-3680
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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