Organization
SANTA BARBARA PULMONARY AND CRITICAL CARE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CHARLES FRIED MD (PRESIDENT)
(805) 448-5508
Entity
Organization
Contact information
Practice address
400 W PUEBLO ST, SANTA BARBARA, CA 93105-4353
(805) 448-5508
Mailing address
306 SANTA ROSA LN, SANTA BARBARA, CA 93108-2136
(805) 448-5508
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G50207
CA
207RP1001X
Pulmonary Disease Physician
G50207
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0010440
—
CA
01
—
ZZZ99966Z
BLUE SHIELD GROUP #
CA
Enumeration date
11/17/2006
Last updated
08/12/2025
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