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Organization

ISSELS MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSIE WILLEFORD (CHIEF OPERATING OFFICER)
(805) 962-2126
Entity
Organization

Contact information

Practice address
1532 STATE ST, 2ND FLOOR, SANTA BARBARA, CA 93101-2554
(805) 962-2126
(805) 962-2127
Mailing address
1532 STATE ST, 2ND FLOOR, SANTA BARBARA, CA 93101-2554
(805) 962-2126
(805) 962-2127

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A86185
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A86185
STATE
CA
Enumeration date
03/18/2010
Last updated
03/18/2010
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