Individual
GEORGE KEITH LLEWELLYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1722 STATE ST, STE 103, SANTA BARBARA, CA 93101-2526
(805) 884-4900
(805) 884-4900
Mailing address
1722 STATE ST, STE 103, SANTA BARBARA, CA 93101-2526
(805) 884-4900
(805) 884-4913
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A80609
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A806090
BLUE SHIELD
CA
Enumeration date
03/21/2006
Last updated
04/05/2016
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