Individual
DR. JULIO A SOARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5333 HOLLISTER AVE STE 105, SANTA BARBARA, CA 93111-3309
(805) 967-1359
Mailing address
5333 HOLLISTER AVE STE 195, SANTA BARBARA, CA 93111-2465
(805) 967-1359
(805) 683-3319
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A32832
CA
208200000X
Plastic Surgery Physician
Primary
A32832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
770143765
TAX ID
CA
01
—
A32832
CALIFORNIA LICENSE
CA
Enumeration date
11/20/2006
Last updated
12/08/2021
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