Individual
MICHAEL J PAVELOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1933 CLIFF DRIVE, 29, SANTA BARBARA, CA 93109
(805) 682-4459
Mailing address
P O BOX 9819, BAKERSFIELD, CA 93389-9819
(805) 682-4459
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G78490
CA
208200000X
Plastic Surgery Physician
G78490
CA
332B00000X
Durable Medical Equipment & Medical Supplies
G78490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4557534
AETNA
CA
Enumeration date
08/10/2006
Last updated
11/14/2007
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